Thoracic aortic dissection associated with involvement by small lymphocytic lymphoma/chronic lymphocytic leukemia: a possible underappreciated risk factor?

被引:3
作者
Inra, Matthew L. [1 ]
McCormick, Mathias G. [2 ]
Bagameri, Gabor [1 ]
Lin, Peter T. [3 ]
机构
[1] Mayo Clin, Dept Cardiovasc Surg, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Internal Med, Rochester, MN 55905 USA
[3] Mayo Clin, Dept Lab Med & Pathol, Hilton 11,200 First St SW, Rochester, MN 55905 USA
关键词
Thoracic; Aorta; Aortic dissection; Lymphoma; SLL/CLL; ANEURYSM; PATIENT; CHEMOTHERAPY;
D O I
10.1016/j.carpath.2019.107179
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of a 77-year-old man with small lymphocytic lymphoma/chronic lymphocytic leukemia (SLL/CLL) thought to be in remission who developed an acute type A thoracic aortic dissection despite no known risk factors for aortic dissection. Surgical pathology evaluation of the aorta specimen removed at surgery showed direct lymphocytic infiltration of the aortic adventitia and media in the region of the aortic dissection. The potential causative role and pathophysiologic mechanisms of SLL/CLL in aortic dissection are discussed. (C) 2019 Elsevier Inc. All rights reserved.
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页数:4
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