Gutierrez H G, Alshak N S, Kotlewski A
Kaiser Permanente Los Angeles Medical Center, California 90027, USA.
Cathet Cardiovasc Diagn. 1996 Mar;37(3):277-80. doi: 10.1002/(SICI)1097-0304(199603)37:3<277::AID-CCD13>3.0.CO;2-F.
We describe a case of a spontaneously occurring innominate artery perforation which, rather than resulting in immediate death, developed a subacute course with findings suggestive of an expanding mediastinal mass. The cause of the spontaneous perforation appears to have been a combination of atherosclerosis, infection, and infiltration of the underlying structures with malignancy. This is a unique case of subacute spontaneous perforation of a great vessel.
我们描述了一例无名动脉自发性穿孔病例,该病例并未立即导致死亡,而是呈亚急性病程,伴有提示纵隔肿块扩大的表现。自发性穿孔的原因似乎是动脉粥样硬化、感染以及潜在结构被恶性肿瘤浸润共同作用的结果。这是一例大血管亚急性自发性穿孔的独特病例。