[动脉导管未闭合并动脉内膜炎的自发性动脉瘤。病例报告]

[Spontaneous aneurysm of the patent ductus arteriosus with endarteritis. A case report].

作者信息

Rangel-Abundis A, Baduí E, Verdín R, Escobar C V, Enciso R, Valdespino A

机构信息

Departamentos de Hemodinamia, Fisiología Cardiopulmonar y Cardiología, Hospital de Especialidades C.M. La Raza, México, D.F.

出版信息

Arch Inst Cardiol Mex. 1991 Jan-Feb;61(1):59-64.

PMID:2048911

Abstract

The spontaneous aneurysm of the ductus arteriosus is an extremely rare disease. From a total of 24 adult cases reported in the literature up to 1987, only in one case the ductus was open and other, was recanalized after being closed. We described the second case in the literature in a patient with totally permeable ductus arteriosus who developed a spontaneous aneurysm and endarteritis, showing the great importance of the diagnostic procedures such as echocardiogram, tomography and angiogram, as well as the surgical treatment which was successful in our patient. The probable etiology of this disease is discussed.

摘要

动脉导管自发性动脉瘤是一种极其罕见的疾病。截至1987年，文献报道的24例成人病例中，只有1例动脉导管开放，另1例在闭合后再通。我们报道了文献中的第二例病例，该患者动脉导管完全通畅，并发自发性动脉瘤和动脉内膜炎，强调了超声心动图、断层扫描和血管造影等诊断程序以及手术治疗的重要性，我们的患者手术治疗成功。本文还讨论了该疾病可能的病因。