Diagnostic chest X-ray in atrial septal defects
Gianluca Rigatelli1
Marco Zuin2
1.Cardiovascular Diagnosis and Endoluminal Interventions Unit, Rovigo General Hospital, Rovigo, Italy2.Section of Internal and Cardiopulmonary Medicine, Department of Medical Science, Faculty of Medicine, University of Ferrara, Ferrara, Italy
摘要：A 66-year-old woman with lower limb edema and exertional dyspnea presented to the emergency department.Posteroanterior chest X-ray revealed a Fleischner's sign in both lungs (Figure 1A) suggesting a pulmonary hypertension.A subsequent transthoracic echocardiogram revealed a 24 mm diameter secundum atrial septal defect (ASD) (Figure 1B) with a dilated right heart and a mean pulmonary pressure of 68 mmHg.Fleischner's sign refers to a prominent central pulmonary artery that can be commonly caused either by pulmonary hypertension or acute pulmonary embolism.This radiological finding is very rare in patients with secundum ASD unless the defect remains undiagnosed till the elderly.Chest X-ray remains fundamental in making diagnosis of cardiovascular disease.
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论文发表日期：2020-02-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：1( 125 )
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