Lee Pui-Wai, Ritter Matthew J, Quinonez Luis G, Glockner James F, Oh Jae K
Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Am J Cardiol. 2007 Aug 1;100(3):556-8. doi: 10.1016/j.amjcard.2007.03.060. Epub 2007 Jun 15.
The investigators describe an unusual case of tracheal and esophageal compression by atherosclerotic dilatation of the diverticulum of Kommerell associated with a congenital aberrant right subclavian artery, illustrating how aging-related vascular degenerative disease can modify the clinical manifestations of congenital anomalies in an 84-year-old man. In conclusion, the potential interactions between congenital and acquired cardiovascular disease should be considered in the evaluation of cardiovascular symptoms in the elderly population.
研究人员描述了一例罕见病例,一名84岁男性因Kommerell憩室的动脉粥样硬化扩张合并先天性右锁骨下动脉异常,导致气管和食管受压,说明了与衰老相关的血管退行性疾病如何改变先天性异常的临床表现。总之,在评估老年人群的心血管症状时,应考虑先天性和后天性心血管疾病之间的潜在相互作用。