Hussain R, Luke D A
Department of Cardiothoracic Surgery, St. James' Hospital, Dublin, Ireland.
Eur J Cardiothorac Surg. 1995;9(2):99-101. doi: 10.1016/s1010-7940(05)80027-2.
An unusual case of aortic arch dissection from a patent ductus arteriosus (PDA) is described. An adult man had been diagnosed as suffering from pectus excavatum and PDA 10 years before. At that time the pectus was repaired, but he failed to return for surgery on the PDA and the sub-sternal strut for pectus repair was also never removed. Recently he was admitted in a peripheral hospital with chest infection. Patent ductus arteriosus murmur was audible on clinical examination. The chest X-ray showed a widened mediastinum and the pectus strut. On further investigations dissection of the aortic arch was discovered and arch replacement performed.
本文描述了一例罕见的动脉导管未闭（PDA）导致主动脉弓夹层的病例。一名成年男性10年前被诊断患有漏斗胸和PDA。当时漏斗胸得到了修复，但他未返回接受PDA手术，漏斗胸修复所用的胸骨下支柱也一直未取出。最近他因胸部感染入住一家外围医院。临床检查可闻及动脉导管未闭杂音。胸部X线显示纵隔增宽及胸骨支柱。进一步检查发现主动脉弓夹层，并进行了主动脉弓置换术。
