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血管环性吞咽困难:一种鲜为人知的胸痛原因。

Dysphagia Lusoria: A Little Known Cause of Chest Pain.

作者信息

Ahmed Zaka, Udongwo Ndausung, Albustani Safa, Taj Sobaan, Wiseman Kyle, Alchalabi Halah, Hossain Mohammad A

机构信息

Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.

Medicine, Hackensack Meridian School of Medicine, Nutley, USA.

出版信息

Cureus. 2021 Dec 1;13(12):e20085. doi: 10.7759/cureus.20085. eCollection 2021 Dec.

Abstract

Dysphagia lusoria is a congenital abnormality characterized by an aberrant right subclavian artery. It often presents as either an incidental finding on imaging or chronic dysphagia. We describe the case of a 66-year-old female who presented with severe chest pain, worse with swallowing, along with an ongoing globus sensation. She was found to have a negative cardiac workup for ischemia with a subsequent computed tomography angiogram (CTA) of the chest showing an abnormal right subclavian artery. We emphasize the unique diagnostic approach of this rare anatomical anomaly and its potential presentation that worsens with deglutition.

摘要

吞咽困难型迷走右锁骨下动脉是一种以右锁骨下动脉异常为特征的先天性畸形。它常表现为影像学检查中的偶然发现或慢性吞咽困难。我们描述了一例66岁女性病例,该患者出现严重胸痛,吞咽时加重,同时伴有持续的咽部异物感。她的心脏缺血检查结果为阴性,随后胸部计算机断层血管造影(CTA)显示右锁骨下动脉异常。我们强调了这种罕见解剖异常的独特诊断方法及其随吞咽加重的潜在表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8382/8719827/b847ed35d968/cureus-0013-00000020085-i01.jpg

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