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http://dx.doi.org/10.3904/kjm.2014.86.3.329

Left Atrium Compressed by a Traumatic Focal Aneurysm of the Thoracic Aorta  

Park, Gun (Department of Internal Medicine, Saint Carollo Hospital)
Ko, Seung Yeong (Department of Internal Medicine, Saint Carollo Hospital)
Kim, Ju Yeong (Department of Internal Medicine, Saint Carollo Hospital)
Na, Sang Don (Department of Internal Medicine, Saint Carollo Hospital)
Kim, Dong Han (Department of Internal Medicine, Saint Carollo Hospital)
Cho, Jang Hyun (Department of Internal Medicine, Saint Carollo Hospital)
Publication Information
The Korean Journal of Medicine / v.86, no.3, 2014 , pp. 329-333 More about this Journal
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.
Keywords
Aortic aneurysm; Left atrium; Echocardiography;
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