Oldroyd K G, Powell A, Carson P
Department of Cardiology, City General Hospital, Stoke-on-Trent, U.K.
Int J Cardiol. 1988 Feb;18(2):271-4. doi: 10.1016/0167-5273(88)90174-x.
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.
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。
