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Case Reports Cureus. 2025 May 3;17(5):e83407. doi: 10.7759/cureus.83407 Q21.32025

Atrial Septal Defect Presenting as Fleischner's Sign in an Elderly Patient: A Case Report

老年患者以Fleischner征象表现为房缺一例报告 翻译改进

Yuki Ohnishi  1, Lusine Zakharian  2, Yasuhiro Suyama  3, Hiroyuki Otsuka  1

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作者单位

  • 1 Internal Medicine, Sosa Municipal Hospital, Chiba, JPN.
  • 2 Internal Medicine, 374th Medical Group Yokota Air Base Hospital, Tokyo, JPN.
  • 3 Rheumatology, Nippon Telegraph and Telephone (NTT) Medical Center Tokyo, Tokyo, JPN.
  • DOI: 10.7759/cureus.83407 PMID: 40458325

    摘要 中英对照阅读

    In the elderly, the most common congenital heart disease is secundum atrial septal defect (ASD). We present a case of an elderly patient with an incidental diagnosis of asymptomatic ASD, detected on a posteroanterior chest X-ray by Fleischner's sign. Fleischner's sign is defined as the radiographic finding of a prominent central pulmonary artery, suggesting pulmonary hypertension. This is rarely seen in ASD that remains undiagnosed until elderhood. Altho... ...点击完成人机验证后继续浏览

    在老年人中,最常见的先天性心脏病是房间隔缺损(ASD)。我们报道了一例老年患者偶然诊断出无症状的房间隔缺损的情况,该情况是在进行前后位胸部X光检查时通过 Fleischner 征发现的。Fleischner 征定义为肺动脉明显的放射学表现,提示存在肺动脉高压。这种情况在老年人中很少见,且一般会持续到老年才被诊断出来。尽管先天性心脏病在老年人中相对罕见,但在解释胸部X光片时如果表现出 Fleischner 征(特别是在肺门区域),医生应保持高度警惕。

    关键词: 房间隔缺损;胸部 X 光检查;先天性心脏病;健康检查;偶然放射学发现。

    版权 © 2025, Ohnishi 等人。

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    期刊名:Cureus journal of medical science

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    ISSN:N/A

    e-ISSN:2168-8184

    IF/分区:1.3/Q2

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    Atrial Septal Defect Presenting as Fleischner's Sign in an Elderly Patient: A Case Report