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[一位伴有心悸和吞咽困难的女性]

[A woman with palpitations and dysphagia].

作者信息

Vos C G Niels, de Bruin Jorg L, Wisselink Willem

机构信息

VU medisch centrum, afd. Heelkunde, Amsterdam, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2013;157(4):A5063.

Abstract

A 55-year-old female experienced palpitations and thoracic pain. Coronary angiography showed a right sided aorta. The patient was diagnosed with a Kommerell's diverticulum that compressed the esophagus and trachea. During follow-up she developed dysphagia and she underwent a transposition of the left subclavian artery to the left common carotid artery followed by endovascular treatment of the distal aortic arch and thereby excluding the diverticulum.

摘要

一名55岁女性出现心悸和胸痛。冠状动脉造影显示为右侧主动脉。该患者被诊断为Kommerell憩室,其压迫食管和气管。随访期间她出现吞咽困难,随后接受了左锁骨下动脉转位至左颈总动脉,接着对主动脉弓远端进行了血管内治疗,从而排除了憩室。

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