TY -的A2 -梅里克,丹尼尔·t . AU - Debeaumont大卫AU -马靴,苏珊娜盟——大骂,jean - marc盟——Bellefleur玛丽盟——Stepowski迪米特里AU -文森特,佛罗伦萨盟,Bonnevie特里斯坦盟,肉汁Francis-Edouard盟——Netchitailo玛丽盟——Tardif凯瑟琳盟——Boutry阿兰AU -穆尔,让非盟- Coquart,Jérémy PY - 2016 DA - 2016/12/26 TI -肺切除术后二尖瓣环受压:运动患者中罕见的血管并发症SP - 9575894 VL - 2016 AB -肺切除术后存在大量并发症。我们提出一个罕见的肺切除术后劳力性呼吸困难的临床病例，显示二尖瓣环被降主动脉压迫。患者42岁，有吸烟史，并发肺气肿。他于2012年接受了手术(即右肺切除术)。在手术前，病人是一个休闲跑步者。然而，几个月后，病人很难恢复跑步。心肺运动试验显示中度运动不耐受并伴有重要的氧饱和度降低。更有趣的是，在心电图上没有电改变的情况下，从第一个通气阈值开始注意到低氧脉搏的下降。这种下降表明了卒中量的下降。 The thoracic scan revealed a right pneumonectomy pocket with a liquid abnormal content. Moreover, the mediastinum had shifted toward the pneumonectomy space and the left lung was distended and emphysematous. Echocardiography revealed a major change in the mediastinal anatomy. The mitral annulus was observed to be compressed by the rear wall of the descending aorta. The diagnosis of postpneumonectomy syndrome or platypnea-orthodeoxia syndrome was ruled out in this patient. Mitral annular compression by the descending aorta is rare complication, which must be researched in patients with postpneumonectomy exertional dyspnea. SN - 2090-6846 UR - https://doi.org/10.1155/2016/9575894 DO - 10.1155/2016/9575894 JF - Case Reports in Pulmonology PB - Hindawi Publishing Corporation KW - ER -