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患者女,28岁,因体检发现纵膈占位8年,于2011年7月14日入院。患者2003年体检发现纵隔占位,由于体积小,考虑先天性疾病,未予治疗,入院前5d再次行X线检查示纵隔巨大占位,性质不明,为进一步诊治转入我院。患者平时偶有劳累后胸闷,余无特殊不适。6个月前剖宫产1子。入院查体未见相应阳性体征。胸部MRI及主动脉造影示主动脉弓迂曲,考虑先天发育不良所致;主动脉弓远段主动脉瘤,范围约为5.2cm×8.2cm,左锁骨下动脉起自动脉瘤(图1-3)。脑血管造影提示右侧椎动脉优势
Female patient, 28 years old, because of physical examination found that the mediastinum occupies 8 years, on July 14, 2011 admitted. Patients in 2003 physical examination found mediastinal space, due to small size, to consider congenital diseases, untreated, 5d before admission again X-ray examination showed a huge mediastinal mass, unknown nature, for further diagnosis and treatment transferred to our hospital. Patients with occasional exertion after chest tightness, I no special discomfort. Cesarean section 6 months ago. No physical examination admitted to the corresponding positive signs. Chest MRI and aortic angiography showed tortuous aortic arch, due to congenital dysplasia caused due to; aortic arch distal aortic aneurysm, the range of about 5.2cm × 8.2cm, left aneurysm artery from the left aneurysm (Figure 1-3). Cerebral angiography prompted the right side of the superior vertebral artery