Langer F, Mack U, Grundmann U, Ukena D, Schäfers H J
Chirurgische Universitätsklinik, Klinik für Thorax- und Herz-Gefässchirurgie, Universitätskliniken des Saarlandes.
Pneumologie. 1998 Jul;52(7):385-8.
We report the case of a 62-year-old woman who presented with severe abdominal pain. The routine chest x-ray showed an anterior mediastinal mass measuring approximately 10 cm in diameter. CT-Scan and angiography demonstrated an aneurysm of the aortic arch compromising the left pulmonary artery and main bronchus. An additional aneurysm of the abdominal aorta and right iliac artery was seen, which apparently led to the abdominal symptoms. Coronary angiography revealed coronary artery disease. The aortic arch aneurysm was treated by interposition of a vascular graft. Aorto-coronary bypass grafts were implanted. The abdominal aneurysm was resected in a staged approach after recovery from the first operation.
我们报告了一例62岁女性患者，该患者出现严重腹痛。常规胸部X光显示前纵隔有一肿块，直径约10厘米。CT扫描和血管造影显示主动脉弓动脉瘤压迫左肺动脉和主支气管。还发现腹主动脉和右髂动脉有另一处动脉瘤，这显然导致了腹部症状。冠状动脉造影显示患有冠状动脉疾病。通过植入血管移植物治疗主动脉弓动脉瘤。植入了主动脉-冠状动脉搭桥移植物。在第一次手术后恢复后，分阶段切除腹主动脉瘤。
