Left Atrium Compressed by a Traumatic Focal Aneurysm of the Thoracic Aorta / 대한내과학회지
Korean Journal of Medicine
; : 329-333, 2014.
Article
em Ko
| WPRIM
| ID: wpr-62559
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Aorta Torácica
/
Aneurisma Aórtico
/
Derrame Pleural
/
Veias Pulmonares
/
Tórax
/
Pressão Sanguínea
/
Angiografia
/
Ecocardiografia
/
Doenças Cardiovasculares
/
Acidentes de Trânsito
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
Ko
Ano de publicação:
2014
Tipo de documento:
Article