Left atrium and pulmonary artery compression due to aortic aneurysm causing heart failure symptoms

Patients with thoracic aortic aneurysm (TAA) are mostly asymptomatic and TAA is rarely related to heart failure (HF). We report the case of an 80-year-old female patient, with type A TAA without dissection, with right pulmonary artery and left atrium compression, who presented with HF, preserved eje...

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Bibliographic Details
Main Authors: Antonio José Lagoeiro Jorge, Wolney de Andrade Martins, Victor M. Moutinho, Juliano M. Rezende, Patricia Y. Alves, Humberto Villacorta, Pedro F. Silveira, Antonio A. Couto
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:Revista Portuguesa de Cardiologia (English Edition)
Online Access:http://www.sciencedirect.com/science/article/pii/S2174204918302071
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Summary:Patients with thoracic aortic aneurysm (TAA) are mostly asymptomatic and TAA is rarely related to heart failure (HF). We report the case of an 80-year-old female patient, with type A TAA without dissection, with right pulmonary artery and left atrium compression, who presented with HF, preserved ejection fraction and acute pulmonary edema. Resumo: Pacientes com aneurisma da aorta torácica (AAT) são geralmente assintomáticos e o AAT é raramente associado à insuficiência cardíaca (IC). Nós relatamos o caso de uma paciente feminina, 80 anos, com um AAT tipo A sem sinais de dissecção, que apresentou compressão do átrio esquerdo e da artéria pulmonar direita e desenvolvimento de IC com fração de ejeção preservada e edema agudo de pulmão. Keywords: Thoracic aortic aneurysm, Heart failure, Pulmonary edema, Left atrium, Palavras-chave: Aneurisma da aorta torácica, Insuficiência cardíaca, Edema pulmonar, Átrio esquerdo
ISSN:2174-2049