Dahlberg S, Burke M, Gore J M
Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester 01655.
Arch Intern Med. 1989 Jun;149(6):1419-20.
Loss of peripheral pulses in a patient with chest pain suggests the diagnosis of aortic dissection. An 80-year-old woman presented with an episode of chest pain and acute bilateral loss of upper extremity pulses that was initially treated as aortic dissection. Findings of physical examination and echocardiography were consistent with mitral stenosis. Angiography revealed bilateral brachial artery emboli, which were treated by embolectomy. To our knowledge, this case represents the first report of simultaneous brachial artery emboli in association with mitral stenosis.
胸痛患者出现外周脉搏消失提示主动脉夹层的诊断。一名80岁女性因胸痛发作及急性双侧上肢脉搏消失入院，最初被诊断为主动脉夹层。体格检查和超声心动图结果与二尖瓣狭窄相符。血管造影显示双侧肱动脉栓塞，通过取栓术进行了治疗。据我们所知，该病例是首例同时出现肱动脉栓塞合并二尖瓣狭窄的报告。
