Wei Wu, Hui Chen, Sheng-Yu Wang, Xin Diao
Department of Pulmonary and Critical Care Medicine, Affiliated Hospital of Xi'an Medical University, P.R. China.
Thorac Cardiovasc Surg. 2014 Jun;62(4):375-7. doi: 10.1055/s-0033-1333898. Epub 2013 Apr 5.
We report a case of an 18-year-old man without tuberculosis history who presented with chest distress, dyspnea, and fever. Chest computed tomography scan and echocardiography showed left ventricular posterior wall pseudoaneurysm and perforation. Unfortunately, the patient died shortly after surgery. On the basis of surgical pathology, we made a final diagnosis of tuberculous pericarditis complicated with left ventricular pseudoaneurysm. This has not been reported before in the published literature.
我们报告一例18岁男性患者,既往无结核病史,出现胸部不适、呼吸困难和发热症状。胸部计算机断层扫描和超声心动图显示左心室后壁假性动脉瘤及穿孔。不幸的是,患者术后不久死亡。根据手术病理,我们最终诊断为结核性心包炎并发左心室假性动脉瘤。此前在已发表的文献中未见相关报道。