| 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 |
| 외상성 국소 흉부 대동맥류에 의한 좌심방 압박 1예 |
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박건, 고승영, 김주영, 나상돈, 김동한, 조장현 |
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순천성가롤로병원 내과 |
Correspondence:
Dong Han Kim, Tel: +82-61-720-6204, Fax: +82-61-720-2068, Email: donghani@daum.net
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Received: 25 March 2013 • Revised: 9 May 2013 • Accepted: 14 June 2013 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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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) |
| Key Words:
Aortic aneurysm; Left atrium; Echocardiography |
| 주제어:
대동맥류; 좌심방; 심장초음파 |
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