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一位到心脏病诊所就诊的胸痛罕见病例。

An Unusual Case of Chest Pain Presenting to the Cardiology Clinic.

作者信息

Khunger Arjun, Karim Mohammad, Bawek Sawyer, Kapoor Ankita, Agrawal Nikhil

机构信息

Department of Hospital Medicine, PeaceHealth Sacred Heart Medical Center, Springfield, USA.

Department of Medicine, Division of Cardiology, University of Pittsburgh Medical Center Hamot, Hamot, USA.

出版信息

Cureus. 2024 Oct 16;16(10):e71622. doi: 10.7759/cureus.71622. eCollection 2024 Oct.

DOI:10.7759/cureus.71622
PMID:39553016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11566386/
Abstract

We present the case of a 45-year-old physically active female who presented to the cardiology clinic with subacute chest pain. Despite an extensive diagnostic cardiac workup revealing no significant findings, her chest pain persisted. The patient was finally referred to thoracic surgery for the management of severe pectus excavatum deformity, and her symptoms improved following surgical correction of the condition. Our case report details a symptomatic case of pectus excavatum, emphasizing the importance of recognizing that this condition can be associated with clinical symptoms.

摘要

我们报告一例45岁身体活跃的女性病例,该患者因亚急性胸痛就诊于心脏病诊所。尽管进行了广泛的心脏诊断检查,未发现明显异常,但她的胸痛仍持续存在。该患者最终被转诊至胸外科,以治疗严重的漏斗胸畸形,在对该病症进行手术矫正后,她的症状得到改善。我们的病例报告详细描述了一例有症状的漏斗胸病例,强调了认识到这种病症可能与临床症状相关的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a60/11566386/7cc8bfc85a73/cureus-0016-00000071622-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a60/11566386/fe653426cd69/cureus-0016-00000071622-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a60/11566386/7cc8bfc85a73/cureus-0016-00000071622-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a60/11566386/fe653426cd69/cureus-0016-00000071622-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a60/11566386/7cc8bfc85a73/cureus-0016-00000071622-i02.jpg

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1
An Unusual Case of Chest Pain Presenting to the Cardiology Clinic.一位到心脏病诊所就诊的胸痛罕见病例。
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本文引用的文献

1
Description of a new clinical syndrome: thoracic constriction without evidence of the typical funnel-shaped depression-the "invisible" pectus excavatum.一种新的临床综合征描述:胸廓紧缩,无典型漏斗形凹陷——“无形”的漏斗胸。
Sci Rep. 2023 Jul 25;13(1):12036. doi: 10.1038/s41598-023-38739-w.
2
Prevalence of pectus excavatum in an adult population-based cohort estimated from radiographic indices of chest wall shape.基于胸廓壁形状放射影像学指标估计的成人人群中漏斗胸的患病率。
PLoS One. 2020 May 7;15(5):e0232575. doi: 10.1371/journal.pone.0232575. eCollection 2020.
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Impact of Pectus Excavatum on Cardiopulmonary Function.
漏斗胸对心肺功能的影响。
Ann Thorac Surg. 2018 Feb;105(2):455-460. doi: 10.1016/j.athoracsur.2017.09.037. Epub 2017 Dec 13.
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Pectus Excavatum: More Than a Matter of Aesthetics.漏斗胸:不止是美观问题。
Pediatr Ann. 2016 Nov 1;45(11):e403-e406. doi: 10.3928/19382359-20161007-01.
5
Symptomatic pectus excavatum in seniors (SPES): a cardiovascular problem? : A prospective cardiological study of 42 senior patients with a symptomatic pectus excavatum.老年人胸骨凹陷症(SPES):心血管问题?:42 例胸骨凹陷症有症状的老年患者的前瞻性心脏研究。
Neth Heart J. 2011 Feb;19(2):73-8. doi: 10.1007/s12471-010-0067-z.
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A case of right ventricular dysfunction caused by pectus excavatum.一例由漏斗胸导致的右心室功能障碍病例。
J Cardiovasc Ultrasound. 2010 Jun;18(2):62-5. doi: 10.4250/jcu.2010.18.2.62. Epub 2010 Jun 30.
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912 open pectus excavatum repairs: changing trends, lessons learned: one surgeon's experience.912例漏斗胸开放修复术:变化趋势、经验教训:一位外科医生的经验
World J Surg. 2009 Feb;33(2):180-90. doi: 10.1007/s00268-008-9793-4.
8
Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection.漏斗胸外科矫正术的前瞻性多中心研究:基于互联网数据收集的设计、围手术期并发症、疼痛及基线肺功能
J Am Coll Surg. 2007 Aug;205(2):205-16. doi: 10.1016/j.jamcollsurg.2007.03.027. Epub 2007 Jun 21.
9
Chest wall anomalies: pectus excavatum and pectus carinatum.胸壁畸形:漏斗胸和鸡胸。
Adolesc Med Clin. 2004 Oct;15(3):455-71. doi: 10.1016/j.admecli.2004.06.002.
10
Unoperated funnel chest in middle and advances age: evaluation of indications for operation.中老年未手术漏斗胸:手术适应症评估
J Pediatr Surg. 1970 Dec;5(6):606-9. doi: 10.1016/s0022-3468(70)80004-5.