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The Calcium Sign of Aortic Arch Dissection Two Days after Receiving the Medigen Vaccine for COVID-19 from the Biologics Corporation (MVC)

主動脈剝離的鈣化徵候,高端新冠疫苗兩天後

摘要


This is the first case presented with aortic dissection (AD) 2 days post MVC COVID-19 Vaccine, presented with dyspnea and shock on arrival to emergency room (ER). Chest film revealed calcium sign, and computed tomography (CT) showed type A AD with suspect hemopericardium. Older age, being male, and hypertension are risk factors of AD. It is difficult to diagnose and deadly if not early diagnosed with prompt treatment.

並列摘要


這是第一個在高端新冠疫苗施打兩天後,發現主動脈剝離的病例報告。病人以喘、休克來到急診,胸部X光有鈣化徵候,胸部電腦斷層顯示type A主動脈剝離與心包膜積血。主動脈剝離的風險因子有:年紀大、男性與高血壓。主動脈剝離須盡早診斷與治療才能減少死亡。高端新冠疫苗、高血壓與主動脈剝離的相關性還需要更進一步的研究。

並列關鍵字

主動脈剝離 鈣化徵候 高端新冠疫苗

參考文獻


Szu-Min Hsieh, Ming-Che Liu, Yen-Hsu Chen et al. Safety and immunogenicity of CpG 1018 and aluminium hydroxide-adjuvanted SARS-CoV-2 S-2P protein vaccine MVC-COV1901: interim results of a large-scale, double-blind, randomised, placebo-controlled phase 2 trial in Taiwan. Lancet Respir Med. 2021;9(12):1396-406. doi: 10.1016/S2213-2600(21)00402-1
von Kodolitsch Y, Schwartz AG, Nienaber CA. Clinical prediction of acute aortic dissection. Arch Intern Med 2000;2013:2977-82.
Firas F Mussa, Joshua D Horton, Rameen Moridzadeh et al. Acute Aortic Dissection and Intramural Hematoma: A Systematic Review. JAMA 2016; 316(7):754-63.
Marco Matteo Ciccone, Ilaria Dentamaro, Filippo Masi et al. Advances in the diagnosis of acute aortic syndromes: Role of imaging techniques. Vasc Med. 2016;21(3):239-50.

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