Fierro-Renoy Christian, Velasquez Hermes, Zambrano Juan Pablo, Ridha Mustafa, Kessler Kenneth, Schob Alan
Department of Medicine, Division of Cardiology, University of Miami-Veterans Administration Hospital, 1201 NW 16th Street, 111A, Miami, FL 33125, USA.
Chest. 2002 Oct;122(4):1478-80. doi: 10.1378/chest.122.4.1478.
Percutaneous stenting of the pulmonary arteries (PAs) represents a potential option in cases of PA compression due to a variety of conditions. We present the first reported case of successful bilateral percutaneous stenting of the PAs in a patient with non-small cell lung cancer and severe right ventricular hypertension due to mediastinal lymphadenopathy compressing both PAs. Although the natural course of the disease was not altered, the patient had significant symptomatic relief without adverse effects. Additionally, there was objective evidence of improvement. This case suggests that endovascular stenting is a feasible palliative management option in patients with right ventricular failure due to malignant extrinsic compression of the PAs.
经皮肺动脉支架置入术是因多种情况导致肺动脉受压时的一种潜在选择。我们报告首例成功对一名非小细胞肺癌患者进行双侧肺动脉经皮支架置入术的病例，该患者因纵隔淋巴结肿大压迫双侧肺动脉而出现严重右心室高压。尽管疾病的自然进程未改变，但患者症状明显缓解且无不良反应。此外，有客观证据表明病情有所改善。该病例提示，对于因恶性外部压迫肺动脉导致右心室衰竭的患者，血管内支架置入术是一种可行的姑息治疗选择。
