RESUMO
We described a 65-year-old female of 45,X/46,XX Turner's syndrome associated with patent ductus arteriosus who was admitted due to exertional dyspnea and palpitation. This patient had not spontaneous mensturation and had a short stature without webbed neck and a sexual infantilism. Chromosomal aberrations cause primarily structural defects of cardiovascular system, and a variety of structural aberrations involving the X chromosome can cause partial or complete Turner's syndrome. In Turner's syndrome, bicuspid aortic valve or coarctation of aorta is frequently combined, also aortic root dilatation, partial anomalous venous drainage, hypoplastic left heart, ventricular septal defect, atrial septal defect has been reported. However, this patient had not abnormality in aortic valve and whole aorta. Patent ductus arteriosus in 45,X/46,XX Turner's syndrome have not been reported in Korea. We report this case with a brief review of the literature.
Assuntos
Idoso , Feminino , Humanos , Aorta , Coartação Aórtica , Valva Aórtica , Dente Pré-Molar , Sistema Cardiovascular , Aberrações Cromossômicas , Dilatação , Drenagem , Permeabilidade do Canal Arterial , Dispneia , Coração , Comunicação Interatrial , Comunicação Interventricular , Coreia (Geográfico) , Pescoço , Infantilismo Sexual , Síndrome de Turner , Cromossomo XRESUMO
The majority of ptients with ischemic heart disease such as angina pectoris and myocardial infarction have coronary atherosclerosis as a underlying cause. However, in unusual conditions such as variant angina, aortic valvular heart disease, hypertrophic cardiomyopathy, vasculitis, hypercoagulable states, coronary atherosclerosis is not the cause. Polycythemia vesa is a myeloproliferative disease characterized by infrequent thromboembolic complications such as ischemic heart disease. We report a case of polycythemia vera presenting with angina pectoris without coronary artery stenosis with the review of the literature.
Assuntos
Angina Pectoris , Cardiomiopatia Hipertrófica , Doença da Artéria Coronariana , Estenose Coronária , Vasos Coronários , Doenças das Valvas Cardíacas , Infarto do Miocárdio , Isquemia Miocárdica , Policitemia Vera , Policitemia , VasculiteRESUMO
An aortic aneurysm is described as a permanent localized dilatation of the aorta having a diameter at least 1.5 times that of the expected norrnal diameter of that given aortic segment. Thoracic aortic aneurysms are much less common than are aneurysms of the abdominal aorta. Thoracic aneurysms are classified by the portion of aorta involved, I.e., the ascending, arch, or descending thoracic aorta. We experienced a case of saccular arteriosclerotic aortic aneurysm associated with thrombus in aortic arch in a 78 year-old male who had history of hypertension. He was admitted to Kwangju Veterans Hospital complaining of drowsy mental state and swelling of left foreann. The chest X-ray, chest CT and echocardiogram showed saccular dilatation(maximal diarneter ; 7.67~7.86cm) associated with thrombus in aortic arch. He refused operation because of old age, so he was conservatively rnanaged including propranolol. We report this case of saccular arteriosclerotic aneurysm of aortic arch with a brief review of literature.
Assuntos
Idoso , Humanos , Masculino , Aneurisma , Aorta , Aorta Abdominal , Aorta Torácica , Aneurisma Aórtico , Aneurisma da Aorta Torácica , Dilatação , Hospitais de Veteranos , Hipertensão , Propranolol , Tórax , Trombose , Tomografia Computadorizada por Raios XRESUMO
Carcinosarcoma is an uncommon pulmonary malignancy characterized by carcinomatous parenchyma and sarcomatous stroma. Pulmonary carcinosarcoma represented about 1% of the resected lung tumors. The predominant clinical features are productive cough, chest pain, dyspnea, hemoptysis, bronchiectasis, and atelectasis, but alternate atelectasis is rare. We report a case of pulmonary carcinosarcoma associated with alternate atelectasis of the right upper and lower lobe.
