RESUMO
The problem of dissecting aneurysms of the aorta (DAA) is discussed on the basis of an analysis of treatment of 63 patients, a comparison of 19 clinico-morphological findings included. It was found that in elderly and senile patients DAA often developed in its abdominal portion against the background of atheromatous-ulcerous lesions responsible for the "scrappy" dissection and formation of "pockets" in the aorta wall. The formation of distal fenestration with a "double-barrel" was observed much more rarely. For the early diagnosis of the aorta aneurysm dopplerography of the abdominal part of the aorta is recommended in elderly and senile patients with arterial hypertension and symptoms of occlusion in the aorta-femoral segment. The operative treatment of DAA and its long-term results are analyzed. A case of clinical management of dissecting aneurysm of the ascending portion of the aorta developed against the background of congenitial dysplasia of the connective tissue successfully operated in a woman with rheumatism is described.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Angiografia , Aorta Abdominal/diagnóstico por imagem , Aorta Abdominal/patologia , Aneurisma da Aorta Abdominal/diagnóstico , Aneurisma da Aorta Abdominal/etiologia , Aortografia , Atrofia/diagnóstico por imagem , Atrofia/patologia , Atrofia/cirurgia , Técnicas de Cultura , Feminino , Humanos , Hipertensão/complicações , Masculino , Pessoa de Meia-IdadeRESUMO
The authors present literature data and original findings on characteristics and frequency of hematological disorders in SLE. Marked hemopathies are called SLE masks as in primary examination of the patient systemic blood diseases are not rejected this necessitating special investigations to exclude them. A rare case of SLE debut simulating paraproteinemic hemoblastosis is reported.
