表现为完全性心脏传导阻滞的纵隔硬化症
Sclerosing Mediastinitis Presenting as Complete Heart Block.
作者信息
Bharadwaj Reena, Madakshira Manoj Gopal, Bharadwaj Prashant, Sidhu Hardeep Singh
机构信息
Professor and Head, Department of Pathology, Armed Forces Medical College, Pune, Maharashtra, India.
Assistant Professor, Department of Pathology, Armed Forces Medical College, Pune, Maharashtra, India.
出版信息
J Clin Diagn Res. 2017 May;11(5):ED12-ED14. doi: 10.7860/JCDR/2017/26349.9786. Epub 2017 May 1.
Abstract
Sclerosing Mediastinitis (SM) is a rare condition which is characterized by the presence of dense fibrosis which infiltrates and encroaches upon various structures in the mediastinal cavity. Depending on the extent and the predominant organ of involvement, the patient presents with symptomatology of dysphagia, superior vena cava compression syndrome or dyspnoea. However, the involvement of the heart is rarely seen. Aetiologies of SM are several, with infections being the most common. We discuss a case of SM involving the oesophagus, descending aorta, hilum of lungs and the heart secondary to mucormycosis in an immunocompetent male.
摘要
硬化性纵隔炎（SM）是一种罕见疾病，其特征是存在致密纤维化，该纤维化浸润并侵犯纵隔腔内的各种结构。根据受累范围和主要受累器官不同，患者表现出吞咽困难、上腔静脉压迫综合征或呼吸困难等症状。然而，心脏受累情况很少见。SM的病因有多种，感染是最常见的病因。我们讨论一例免疫功能正常男性因毛霉菌病继发的累及食管、降主动脉、肺门和心脏的SM病例。
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