Okada K, Sueda T, Shikata H, Orihashi K, Nomimura T, Matsuura Y
First Department of Surgery, Hiroshima University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Oct;45(10):1762-4.
A case of pseudoaneurysm of the aortic arch which protruded to the retrobronchial space is reported. A 73-year-old female complaining of severe chest pain was transferred to our hospital, CT showed an abnormal mass which occupied the retrobronchial space and displaced the esophagus toward righ, associated with left pleural effusion. A pseudoaneurysm of the aortic arch was suspected. Angiography revealed an aortic arch aneurysm protruding to the retrobronchial space. Emergent total arch replacement was performed. We diagnosed it as an impending rupture of the aortic arch aneurysm with a specific shape.
报告了一例主动脉弓假性动脉瘤突入支气管后间隙的病例。一名73岁女性因严重胸痛被转诊至我院，CT显示一个异常肿块占据支气管后间隙并将食管向右移位，伴有左侧胸腔积液。怀疑为主动脉弓假性动脉瘤。血管造影显示主动脉弓动脉瘤突入支气管后间隙。进行了急诊全弓置换术。我们将其诊断为具有特定形状的主动脉弓动脉瘤即将破裂。
