动脉导管大动脉瘤破裂。
A ruptured large aneurysm of the ductus arteriosus.
作者信息
Tsujimoto S, Hirose K, Ohyagi A
出版信息
Br Heart J. 1987 Mar;57(3):289-91. doi: 10.1136/hrt.57.3.289.
A 60 year old man was admitted with acute back pain followed by hoarseness. An aneurysm of the ductus arteriosus Botalli was diagnosed and an operation was recommended because of the high risk of complications such as rupture, embolism, or infection. The patient and his family refused surgery, however. The patient died suddenly of a rupture of the aneurysm a year later; necropsy confirmed the diagnosis. Several diagnostic methods were used and enhanced computed tomography gave the best representation of the aneurysm as it was seen at necropsy. This case indicates that enhanced computed tomography is probably the most useful investigation in patients with this type of aneurysm and it confirms the importance of an aneurysmectomy.
一名60岁男性因急性背痛后出现声音嘶哑入院。诊断为动脉导管未闭动脉瘤，由于存在破裂、栓塞或感染等并发症的高风险，建议进行手术。然而，患者及其家属拒绝了手术。一年后，患者因动脉瘤破裂突然死亡；尸检证实了诊断。使用了几种诊断方法，增强计算机断层扫描对动脉瘤的显示与尸检所见最为相符。该病例表明，增强计算机断层扫描可能是这类动脉瘤患者最有用的检查方法，也证实了动脉瘤切除术的重要性。
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