Rare case of heart failure caused by compression of the left atrium by a thoracic aortic aneurysm.

نویسندگان

  • N M Gandhi
  • M Greaves
  • N H Brooks
چکیده

A 61 year old patient was found to have an aneurysm extending from the aortic root to the suprarenal region. He underwent first stage surgery with aortic root and arch replacement, prosthetic aortic valve replacement, and coronary artery bypass grafting. Four weeks later, he presented with breathlessness and signs of heart failure and pleural effusion. Computed tomography showed that the left atrium was compressed between the aortic aneurysm posteriorly and the left ventricle and sternum anteriorly. Obstruction of the superior vena cava, bronchus, oesophagus, and rarely right atrium by an aortic aneurysm has been described before but presentation with left atrial compression has not been reported.

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[Massive hemoptysis as an unusual complication of right heart catheterization. Temporary hemostasis with a Berman diagnostic catheter].

1. Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation. 2005;111:816-28. 2. Pyatt JR, Osula S, Mushahwar SS, Somauroo JD, Charles RG. Extrinsic compression of the left atrium: an unusual complication of a type B aortic dissection. Int J Cardiol. 2001;79:89-90. 3. Vicente T, Pascual D, Pinar E, García A, López J, Valdés M. Compresión extrínseca de aurícula izquierda como present...

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عنوان ژورنال:
  • Heart

دوره 90 2  شماره 

صفحات  -

تاریخ انتشار 2004