Zamani Jalal, Aghasadeghi Kamran, Zarrabi Khalil, Abdi Ardekani Alireza, Zolghadrasli Abdolali
Department of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
J Cardiovasc Thorac Res. 2016;8(1):46-8. doi: 10.15171/jcvtr.2016.09. Epub 2016 Mar 15.
Pseudoaneurysm of aorta is a rare condition usually seen after aortic surgeries or serious accidents. Here we report a 60 years old man without any previous medical condition who presented with non-specific symptoms and underwent different investigations for more than 1 year, until the presence of a continuous murmur raised suspicion toward his cardiovascular system. In echocardiographic and computed tomography (CT) angiographic studies a large pseudoaneurysm of aortic arch with compression effect on pulmonary artery was detected. At this stage he remembered having suffered a minor trauma 10 years ago. He finally underwent operation and his aortic wall was repaired successfully with a patch. This case highlights the importance of thorough history taking and physical examination in patients irrespective of symptoms and high index of suspicion to detect this life-threatening condition.
主动脉假性动脉瘤是一种罕见病症，通常见于主动脉手术后或严重事故后。在此，我们报告一名60岁男性，既往无任何疾病史，出现非特异性症状，且在1年多的时间里接受了各种检查，直到出现连续性杂音才引起对其心血管系统的怀疑。在超声心动图和计算机断层扫描（CT）血管造影研究中，检测到主动脉弓有一个大的假性动脉瘤，对肺动脉有压迫作用。此时，他回忆起10年前曾受过一次轻微创伤。他最终接受了手术，主动脉壁用补片成功修复。该病例强调了对患者进行全面病史采集和体格检查的重要性，无论症状如何，都要有高度的怀疑指数以发现这种危及生命的病症。
