Department of Cardiovascular surgery, Nakadori General Hospital, Akita, Japan.
Department of Cardiovascular surgery, Nakadori General Hospital, Akita, Japan.
Ann Vasc Surg. 2021 Jul;74:520.e23-520.e26. doi: 10.1016/j.avsg.2021.01.088. Epub 2021 Feb 5.
In this study, we report a case of a 45-year-old man with dysphagia aortica secondary to chronic traumatic aortic pseudoaneurysm of the aortic isthmus. He had been involved in a motor vehicle accident 27 years earlier. Computed tomography demonstrated a severely calcified aortic pseudoaneurysm of the aortic isthmus that compressed the esophagus extrinsically. An invasive surgical procedure involving a graft replacement and removal of the calcified aortic wall released the esophageal compression and completely improved the patient's symptoms. To the best of our knowledge, a case of dysphagia aortica caused by calcified pseudoaneurysm has never been reported.
在本研究中,我们报告了一例 45 岁男性患者,因慢性创伤性主动脉弓部假性动脉瘤导致主动脉性吞咽困难。他在 27 年前曾遭遇过一起机动车事故。计算机断层扫描显示,主动脉弓部严重钙化的主动脉假性动脉瘤压迫食管。一项涉及移植物置换和钙化主动脉壁切除的有创手术缓解了食管压迫,使患者症状完全改善。据我们所知,此前从未有过因钙化性假性动脉瘤引起的主动脉性吞咽困难的病例报告。