School of Medicine and Health Sciences, Monash University, JKR 1235, Bukit Azah, Johor Bahru 80100, Malaysia.
Singapore Med J. 2009 Oct;50(10):e350-2.
We report a pulmonary artery (PA) aneurysm associated with severe aortic stenosis and an aortic root dilatation occurring in a 59-year-old woman who presented with dyspnoea and chest pain. PA aneurysms are rare, and there are no definitive guidelines on its management. There are contentious opinions on whether such aneurysms should be managed conservatively or surgically. Our patient had associated aortic stenosis and underwent a successful aortic valve replacement and PA aneurysm repair. This case illustrates that concomitant PA repair with other cardiothoracic surgery can be performed safely, even in patients with moderate surgical risks. We also discuss the natural history, prognosis and management of PA aneurysms.
我们报告了一例与严重主动脉瓣狭窄和主动脉根部扩张相关的肺动脉（PA）瘤，发生于一位 59 岁女性，其表现为呼吸困难和胸痛。PA 瘤很罕见，目前尚无其处理的明确指南。对于此类瘤体是否应保守治疗或手术治疗，存在争议性观点。我们的患者存在合并的主动脉瓣狭窄，并成功进行了主动脉瓣置换和 PA 瘤修复。该病例表明，即使对于中等手术风险的患者，也可以安全地进行其他心胸外科手术的同时 PA 修复。我们还讨论了 PA 瘤的自然史、预后和处理。
