[一名82岁男性出现劳力性呼吸困难、心绞痛及右腹股沟响亮的嗡嗡声]

[Dyspnea on exertion, angina pectoris and loud buzzing in the right groin in an 82-year-old man].

作者信息

Reinhold C, Lange T, Haake H, Weis-Müller B T

机构信息

Klinik für Gefäßchirurgie und Angiologie, Kliniken Maria Hilf GmbH, Sandradstr. 43, 41061, Mönchengladbach, Deutschland,

出版信息

Internist (Berl). 2014 Nov;55(11):1356-60. doi: 10.1007/s00108-014-3543-5.

DOI:10.1007/s00108-014-3543-5

PMID:25070612

Abstract

We report on the case of an 82-year-old man who was suffering from chest pain and dyspnea. Acute cardiac ischemia could be excluded. Cardiac catheterization also revealed an aneurysm of the right common iliac artery. In addition, an arteriovenous fistula between the iliac artery and vein was detected by computer tomography angiography. Apparently, these symptoms were caused by a high output heart failure with known coronary heart disease. The patient was treated by implantation of prosthesis and oversewing the fistula which led to full recovery.

摘要

我们报告了一例82岁男性患者，他患有胸痛和呼吸困难。可排除急性心肌缺血。心脏导管检查还发现右髂总动脉瘤。此外，计算机断层血管造影检测到髂动脉和静脉之间存在动静脉瘘。显然，这些症状是由已知冠心病导致的高输出量心力衰竭引起的。该患者接受了假体植入和瘘管缝合治疗，最终完全康复。