右侧降主动脉夹层动脉瘤伴左侧主动脉弓
Dissecting aneurysm of a right-sided descending aorta with a left-sided aortic arch.
作者信息
Oldroyd K G, Powell A, Carson P
机构信息
Department of Cardiology, City General Hospital, Stoke-on-Trent, U.K.
出版信息
Int J Cardiol. 1988 Feb;18(2):271-4. doi: 10.1016/0167-5273(88)90174-x.
PMID:3343080
Abstract
A 66-year-old man presented with myocardial infarction. Chest X-ray showed a large mediastinal mass. Aortic dissection was suggested by a past history of chest trauma, but the mass was in a very atypical site. Dissection of an abnormally placed right-sided descending aorta was confirmed by computed tomography. The aortic arch lay on the left side. This rare combination of congenital and acquired heart disease led to diagnostic difficulty.
摘要
一名66岁男性因心肌梗死就诊。胸部X线显示纵隔有一巨大肿块。既往有胸部外伤史提示主动脉夹层，但肿块位置非常不典型。计算机断层扫描证实为异常走行的右侧降主动脉夹层。主动脉弓位于左侧。这种先天性和后天性心脏病的罕见组合导致诊断困难。
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