Ramírez M T, Alvarez-Sala R, Martínez M, Gómez L, Prados C
Pneumology Service, La Paz Hospital, Autónoma University, Madrid, Spain.
J Cardiovasc Surg (Torino). 1999 Apr;40(2):281-3.
The most frequent chest X-ray finding of descending thoracic aortic aneurysm is an enlargement of medial mediastinum. Haemoptysis caused by thoracic aortic aneurysm is rare and, normally, when it occurs, it is due to an aorto-bronchopulmonary fistula. We report the case of an 88 year-old male, heavy smoker with arterial hypertension, who had been operated on for abdominal aneurysm five years before, whose unique symptom was scant haemoptysis and radiologically presented a cavity mass in the upper left lobe. Autopsy revealed that the pulmonary cavity mass was due to a descending thoracic aortic aneurysm.
降主动脉瘤最常见的胸部X线表现是纵隔中部增宽。由胸主动脉瘤引起的咯血很少见，通常发生时是由于主动脉-支气管-肺瘘所致。我们报告一例88岁男性，重度吸烟者，患有动脉高血压，5年前曾接受腹主动脉瘤手术，其唯一症状是少量咯血，放射学检查显示左上叶有一个空洞性肿块。尸检发现肺空洞性肿块是由降主动脉瘤引起的。
