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Left Atrium Compressed by a Traumatic Focal Aneurysm of the Thoracic Aorta / 대한내과학회지
Korean Journal of Medicine ; : 329-333, 2014.
Artículo en Coreano | WPRIM | ID: wpr-62559
ABSTRACT
A 78-year-old woman presented to our hospital with progressive dyspnea (NYHA class I-II) and epigastric discomfort that had developed after a traffic accident. She had a history of hypertension and cerebral infarction, but no history of cardiovascular disease. Her blood pressure was 130/70 mmHg and her heart rate was 66 beats/min and regular. The electrocardiogram showed normal sinus rhythm. The chest X-ray revealed bilateral pleural effusions. Transthoracic echocardiography (TTE) demonstrated an aneurysm of the descending thoracic aorta compressing the left atrium (LA). Left and right ventricular systolic function was preserved. Whole-body computed tomography (CT) angiography revealed that a focal 40-mm-diameter saccular aneurysm in the descending aorta at the level of T7-8, with an intramural hematoma, was compressing the LA and left pulmonary vein. After surgical management, follow-up TTE and CT showed decompression of the LA and left pulmonary vein.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Aorta Torácica / Aneurisma de la Aorta / Derrame Pleural / Venas Pulmonares / Tórax / Presión Sanguínea / Angiografía / Ecocardiografía / Enfermedades Cardiovasculares / Accidentes de Tránsito Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Anciano / Femenino / Humanos Idioma: Coreano Revista: Korean Journal of Medicine Año: 2014 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Aorta Torácica / Aneurisma de la Aorta / Derrame Pleural / Venas Pulmonares / Tórax / Presión Sanguínea / Angiografía / Ecocardiografía / Enfermedades Cardiovasculares / Accidentes de Tránsito Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Anciano / Femenino / Humanos Idioma: Coreano Revista: Korean Journal of Medicine Año: 2014 Tipo del documento: Artículo