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Case Report
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Korean J Med. 2014;86(3):329-333. Published online March 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.3.329
- 외상성 국소 흉부 대동맥류에 의한 좌심방 압박 1예
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박건, 고승영, 김주영, 나상돈, 김동한, 조장현
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순천성가롤로병원 내과
- Left Atrium Compressed by a Traumatic Focal Aneurysm of the Thoracic Aorta
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Gun Park, Seung Yeong Ko, Ju Yeong Kim, Sang Don Na, Dong Han Kim, Jang Hyun Cho
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Department of Internal Medicine, Saint Carollo Hospital, Suncheon, Korea
- Corresponding author: Dong Han Kim ,Tel: +82-61-720-6204, Fax: +82-61-720-2068, Email: donghani@daum.net
- Received: March 25, 2013; Revised: May 9, 2013 Accepted: June 14, 2013.
- 저자들은 교통사고 후 호흡곤란을 보이는 환자에서 경흉부 심장초음파를 통해 좌심방 압박과 압박 구조물을 우연히 확인할 수 있었고 CT를 통해 압박 구조물이 국소 낭형 하행 흉부 대동맥류임을 확인할 수 있었다. 본 증례는 외상 때문에 발생한 국소 낭형 대동맥류가 좌심방을 압박하는 증례이며 대동맥류 치료 방법의 선택에 시사하는 바가 있어서 문헌고찰과 함께 보고하는 바이다.
߽ɾ :대동맥류; 좌심방; 심장초음파
- 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. (Korean J Med 2014;86:329-333)
Keywords :Aortic aneurysm, Left atrium, Echocardiography
