伪装成迁延不愈肺炎的导管动脉瘤：一项具有挑战性的鉴别诊断！

Ductal aneurysm masquerading as nonresolving pneumonia: A challenging differential!

作者信息

Chodhary Maitri, Tomar Munesh, Radhakrishnan Sitaraman

机构信息

Department of Congenital and Pediatric Heart Diseases, Escorts Heart Institute and Research Center, New Delhi, India.

出版信息

Ann Pediatr Cardiol. 2010 Jan;3(1):80-2. doi: 10.4103/0974-2069.64364.

DOI:10.4103/0974-2069.64364

PMID:20814482

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2921525/

Abstract

We report here, the case of a six-and-a-half-month-old boy investigated for persistent respiratory distress and homogeneous opacity in the left upper lobe. Echocardiography revealed a giant ductal aneurysm compressing the left pulmonary artery and upper lobe division of the left bronchus. Computerized tomography angiogram delineated the exact anatomy and prompt surgical resection provided a successful cure to this lesser known entity.

摘要

我们在此报告一名6个半月大男婴的病例，该患儿因持续性呼吸窘迫及左上叶均匀性肺不透明而接受检查。超声心动图显示一个巨大的动脉导管瘤压迫左肺动脉和左支气管上叶分支。计算机断层血管造影描绘了确切的解剖结构，及时的手术切除成功治愈了这个鲜为人知的病症。