Agarwal Saket, Choudhary Shiv, Saxena Anita, Ray Ruma, Airan Balram
Department of Cardiothoracic Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi.
Indian Heart J. 2002 Jan-Feb;54(1):77-9.
Aneurysm of the main pulmonary artery is rare. Its natural history is not well understood and there are no clear guidelines regarding its optimal treatment. We present a case of a huge saccular aneurysm of the main pulmonary artery which was associated with infundibular and valvular pulmonary stenosis. It was repaired using a pericardial patch with concomitant pulmonary valvotomy and infundibular resection. Postoperative recovery was uneventful and the patient is doing well. Follow-up echocardiogram revealed good repair.
主肺动脉瘤罕见。其自然病史尚不明确，关于其最佳治疗也没有明确的指南。我们报告一例主肺动脉巨大囊状动脉瘤病例，该动脉瘤与漏斗部及瓣膜性肺动脉狭窄相关。采用心包补片修复，并同时进行肺动脉瓣切开术和漏斗部切除术。术后恢复顺利，患者情况良好。随访超声心动图显示修复良好。
