主动脉病变CT诊断课程.pptVIP

(A) Axial CT image in a patient with a Type A IMH involving the ascending and descending thoracic aorta. Curvilinear hypodensities correspond to the intramural hematoma (arrows). (B). Axial CT image in a patient with a Type B IMH (arrow) with calcified aortic adventitia (arrowhead). (C) Axial CT image in a patient with a Type B IMH with extensive hematoma (arrow) circumferentially within the wall of aorta. 老年代谢性疾病，女性绝经后进展迅速 主动脉穿透性溃疡（penetrating aortic ulcer，PAU） 粥样斑块侵蚀主动脉壁内层和弹性膜，中膜内血肿形成 可致主动脉瘤形成或主动脉破裂 囊状动脉瘤多PAU引起 多发生在老龄患者，动脉粥样硬化较重 主动脉弓和降主动脉多见，升主动脉少见 Diagrams illustrate the four stages in the