血管环:老年男性患者呼吸困难的罕见病因。病例报告)。

Magdalena Orwaldi
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引用次数: 0

摘要

呼吸短促(呼吸困难)和胸部x光片改变是最常见的症状,提示进一步的肺部诊断。本文报告一位71岁病患,因呼吸困难加重及胸部x光片异常而转诊。病人因缺血性心脏病和心律失常接受治疗已有几年了。胸部三维CT示主动脉血管环。这是一种以大血管干不正常流动为特征的缺陷,它形成了一个心血管环,部分或完全充实了纵隔(食管、气管)的结构。观察到的临床症状是施加在纵隔结构上的压力及其强度的结果。这种心血管缺陷在儿童发育的早期阶段被诊断出来,而在成年患者中被识别出来是一种诡辩的情况。
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[Vascular ring: a rare cause of dyspnea in an elderly male patient. Case report].

Shortness of breath (dyspnea) and changes present in X-rays of the chest are most frequent symptoms indicating further pulmonary diagnostic. Presented is the case of 71-year-old patient reffered from general practitioner due to exacerbation of dyspnea and abnormalities present in the chest X-ray.The patient has been treated for ischemic heart disease and arrythmia for a couple of years.Three-dimensional CT of the chest revealed a vascular ring of aorta.It is a defect characterized by a faulty flow of large vascular trunks, which built a cardiovascular ring that partially or completely enricle the structure of mediastinum (esophagus, trachea).The observed clinical symptoms are a result of pressure applied to the structure of the mediastinum and its intensity. This cardiovascular defect is diagnosed during early stages of childchood development and for it to be recognized in an adult patient is a casuistic case.

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