Kamp O, van Rossum A C, Torenbeek R
Department of Cardiology, Free University Hospital, Amsterdam, The Netherlands.
Int J Cardiol. 1991 Nov;33(2):330-3. doi: 10.1016/0167-5273(91)90367-x.
We report a patient who initially presented with hoarseness and was admitted to our hospital with chest pain, caused by a saccular aneurysm of the thoracic aortic arch. The initial diagnosis was made by cross-sectional echocardiography, the extension and morphology of the saccular aneurysm being detected by transesophageal echocardiography. Magnetic resonance imaging confirmed the measurements of the aneurysm and clearly showed the anatomic relation with surrounding structures and arch vessels. The patient refused operation and died during in-hospital stay. A rupture of the thoracic aneurysm was the cause of death.
我们报告了一名患者，该患者最初表现为声音嘶哑，因胸主动脉弓囊状动脉瘤导致胸痛而入住我院。最初的诊断通过横断面超声心动图做出，经食管超声心动图检测出囊状动脉瘤的范围和形态。磁共振成像证实了动脉瘤的测量结果，并清晰显示了其与周围结构和主动脉弓血管的解剖关系。患者拒绝手术，在住院期间死亡。胸主动脉瘤破裂是死亡原因。
