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A Medical Mystery: Abnormal Chest X-Ray Film
Ïðåäëàãàþ îáñóäèòü Medical Mystery îïóáëèêîâàííóþ â òåêóùåì íîìåðå NEJM.
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] A Medical Mystery: Abnormal Chest X-Ray Film A 73-year-old man with a previous history of hypertension and diabetes mellitus had undergone aortic-valve replacement for aortic stenosis and received a pacemaker for a junctional rhythm several years earlier. A routine follow-up chest x-ray film raised the possibility of an aortic-arch aneurysm. The pacemaker was functioning properly. What is the diagnosis? Ïðàâèëüíûé îòâåò áóäåò îïóáëèêîâàí 21 ñåíòÿáðÿ. Ïðåäïîëàãàþ ÷òî ýòî twiddler's syndrome c ïîâðåæäåíèåì èñêóññòâåííîãî êëàïàíà àîðòû èëè ñòåíêè àîðòû ñ ôîðìèðîâàíèåì àíåâðèçìû. Áîëåå êîíêðåòíûõ ñîîáðàæåíèé ó ìåíÿ íåò. |