Shiono N, Tokuhiro K, Ozawa T, Fujii T, Sakuragawa H, Kawasaki M, Suzuki N, Yoshihara K, Takanashi Y, Komatsu H
Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine, Tokyo, Japan.
Kyobu Geka. 1995 May;48(5):409-11.
A sixty-year-old male manifested high fever, bloody sputa and an abnormal shadow in the left hilus on chest X-ray film. He was treated with antibiotics as for a infections lung disease. But back pain which he had been suffered from didn't improve. He was referred to the second hospital with suspicion of lung neoplasm. He underwent radiation therapy. The shadow in the left hilus had been increasing in size with the radiation therapy. On CT scanning, the shadow was recognized as an impending aneurysm along the descending thoracic aorta. He was referred to our hospital and operated upon in emergency basis. On operative findings, the aortic aneurysm located from the distal portion of the left common carotid artery and was huge sacklar shape. In surgical procedure, the entrance in the descending aorta was closed with a vascular patch graft because the aortic wall around the entrance was normal and unaffected. Postoperative course was uneventful. We should learn some warning from this case.
一名60岁男性出现高热、血痰，胸部X线片显示左肺门有异常阴影。他接受了针对感染性肺病的抗生素治疗。但他一直患有的背痛并未改善。他因怀疑肺部肿瘤被转诊至第二医院。他接受了放射治疗。随着放射治疗，左肺门的阴影大小不断增大。CT扫描显示，该阴影被确认为降主动脉近端的一个即将破裂的动脉瘤。他被转诊至我院并接受了急诊手术。手术中发现，主动脉瘤位于左颈总动脉远端，呈巨大囊状。由于入口周围的主动脉壁正常且未受影响，手术中用血管补片移植物封闭了降主动脉的入口。术后病程平稳。我们应从此病例中吸取一些警示。
