Shriki Jabi E, Nguyen Khanh, Rozo Juan Carlos, Reul George J, Mortazavi Ali
Department of Cardiology, Texas Heart Institute, Houston, Texas 77030, USA.
Tex Heart Inst J. 2002;29(4):324-8.
We report a case of chronic gastric volvulus associated with left atrial compression in a 75-year-old woman who presented with chest pain, shortness of breath, and hypotension after elective hemiarthroplasty of the left hip. The patient's medical history included a paraesophageal hernia and gastric volvulus diagnosed in 1997 but left untreated. The present diagnosis of gastric volvulus was made on the basis of a chest radiograph and subsequent computed tomography. Echocardiography showed the volvulus compressing the left atrium. Surgery to repair the defect was successful, and there were no operative or postoperative complications. A review of the world medical literature revealed that gastric volvulus is rarely reported to cause hemodynamic compromise or compression of the heart and mediastinal structures.
我们报告一例75岁女性慢性胃扭转合并左心房受压的病例,该患者在择期左髋关节半关节置换术后出现胸痛、呼吸急促和低血压。患者的病史包括1997年诊断出的食管旁疝和胃扭转,但未接受治疗。目前胃扭转的诊断是基于胸部X光片和随后的计算机断层扫描。超声心动图显示扭转压迫左心房。修复缺损的手术成功,术中及术后均无并发症。查阅世界医学文献发现,胃扭转很少导致血流动力学损害或心脏及纵隔结构受压的报道。