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相關文獻
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題 名 | Giant Coronary Artery Aneurysm Mimicking a Paracardiac Mass=一個類似心旁腫瘤的巨大冠狀動脈瘤 |
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作 者 | 楊登堯; 鄭乃仁; 張其任; 賴美成; 柯毓麟; | 書刊名 | 長庚醫學 |
卷 期 | 26:2 2003.02[民92.02] |
頁 次 | 頁133-137 |
分類號 | 415.3161 |
關鍵詞 | 冠狀動脈瘤; 冠狀血管動靜脈畸形; 心旁腫瘤; Coronary artery aneurysm; Coronary arterio-venous fistula (coronary A-V fistula); Paracardiac mass; |
語 文 | 英文(English) |
中文摘要 | 冠狀血管動靜脈廔管或動脈瘤在冠狀動脈攝氣偶而可見,但是兩者合併並不常見。我們提出一個冠狀血管動脈廔管合併一個巨大的動脈瘤的病例報告。這個動脈瘤非常大,在一般的胸部X光就可看見一個在左心旁的腫瘤。這位病人因胸痛到本院就醫,理學檢查發現在胸骨上緣有一個連續性心雜音。在許多檢查之後,藉著冠狀動脈攝影證實此一位於胸部X光上的腫瘤是一個冠狀動脈瘤。冠狀動脈攝影同時發了兩條冠狀血管的動脈畸形。我們認為冠狀血管動脈瘤必須納入胸部X光上心旁腫瘤之鑑別診斷。高度的懷疑,細心的理學檢查再加上適當的影像檢查可以探供正確診斷並減少不必要且危險的檢查。 |
英文摘要 | Although either coronary artery aneurysm or coronary arterio-venous fistula may be found infrequently during coronary angiography, it is very rare to see combination of both structures. Here we present a case of coronary artery fistula combined with a large aneurysm. The aneurysm resembled a mass just beside the left heart border in the chest X-ray (CXR) film. The patients came to our hospital for chest pain. A grade 2/6 continuous murmur as noted over left upper sternal border. The mass was proved to be a coronary artery aneurysm at last by coronary angiogram after may examinations. Two coronary aterio-venous fistulae were also noted. This reminded us that coronary artery eneurysm could be one of the differential diagnoses of paracrdiac mass during the interpretation of a CXR film. A high level of suspicion and a detailed physical examination combined with an adequate image studies, (such as echocardiography, computed tomography, magnetic resonance image, or coronary angiography) may provide accurate diagnosis and avoid painful, invasive examinations. |
本系統中英文摘要資訊取自各篇刊載內容。