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成人无症状伴运动能力保留的主动脉缩窄。

Asymptomatic Coarctation of the Aorta in Adults with Preserved Exercise Capacity.

机构信息

Division of Advanced Arrhythmia Management, Department of Cardiovascular Medicine, Akita University Graduate School of Medicine, Japan.

Department of Cardiovascular Medicine, Akita University Graduate School of Medicine, Japan.

出版信息

Intern Med. 2023 Apr 15;62(8):1171-1174. doi: 10.2169/internalmedicine.0285-22. Epub 2022 Sep 6.

DOI:10.2169/internalmedicine.0285-22
PMID:36070945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10183278/
Abstract

We herein report a case of coarctation of the aorta (CoA) in an asymptomatic adult who had a preserved exercise capacity. A 56-year-old man with mild hypertension exhibited left ventricular hypertrophy on an electrocardiogram during an annual medical checkup. Echocardiography showed a bicuspid aortic valve and cor triatriatum sinister, and subsequent computed tomography revealed CoA with developed collaterals. Cardiopulmonary exercise testing showed a good exercise capacity. He refused surgical repair and has been asymptomatic for five years. This case is of special interest, as CoA is usually rarely noticed during adulthood if there are no severe congenital anomalies, and in addition, this patient had good exercise capacity.

摘要

我们在此报告一例升主动脉缩窄（CoA）的病例，该患者为无症状成年人，运动能力正常。一名 56 岁男性在年度体检时心电图显示轻度高血压伴左心室肥厚。超声心动图显示二叶式主动脉瓣和左心三房心，随后的计算机断层扫描显示 CoA 伴侧支循环发育。心肺运动试验显示运动能力良好。他拒绝手术修复，至今无症状五年。该病例特别有趣，因为如果没有严重的先天性异常，CoA 在成年期通常很少被注意到，此外，该患者运动能力良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/e1640fc85a27/1349-7235-62-1171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/862912fd8a3e/1349-7235-62-1171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/a65cf3a7e2dc/1349-7235-62-1171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/4dfb1f18924b/1349-7235-62-1171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/e1640fc85a27/1349-7235-62-1171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/862912fd8a3e/1349-7235-62-1171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/a65cf3a7e2dc/1349-7235-62-1171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/4dfb1f18924b/1349-7235-62-1171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/306a/10183278/e1640fc85a27/1349-7235-62-1171-g004.jpg

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