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成人巨大动脉导管未闭合并肺动脉内膜炎和栓塞性肺脓肿。

Large patent ductus arteriosus in an adult complicated by pulmonary endarteritis and embolic lung abscess.

作者信息

Navaratnarajah Manoraj, Mensah Kwabena, Balakrishnan Mahesh, Raja Shahzad G, Bahrami Toufan

机构信息

Department of Cardiac Surgery, Harefield Hospital, Middlesex, UK.

出版信息

Heart Int. 2011;6(2):e16. doi: 10.4081/hi.2011.e16. Epub 2011 Oct 21.

DOI:10.4081/hi.2011.e16
PMID:22049313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3205782/
Abstract

Patent ductus arteriosus in the adult is an extremely rare clinical phenomenon. We report the case of a 34-year old man who developed pulmonary endarteritis and subsequent embolic lung abscess secondary to a large patent ductus arteriosus. This brief report also provides an overview of the natural history, potential complications, optimal therapy, and diagnostic dilemmas associated with this persistent congenital cardiac defect in adults.

摘要

成人动脉导管未闭是一种极其罕见的临床现象。我们报告一例34岁男性患者，其因大型动脉导管未闭继发肺动脉内膜炎及随后的栓塞性肺脓肿。本简要报告还概述了与成人这种持续性先天性心脏缺陷相关的自然病史、潜在并发症、最佳治疗方法及诊断难题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/c01ad79b69d9/hi-2011-2-e16-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/0f2b80a044cc/hi-2011-2-e16-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/88cda3c94f21/hi-2011-2-e16-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/cabb50e5f041/hi-2011-2-e16-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/c01ad79b69d9/hi-2011-2-e16-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/0f2b80a044cc/hi-2011-2-e16-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/88cda3c94f21/hi-2011-2-e16-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/cabb50e5f041/hi-2011-2-e16-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/3205782/c01ad79b69d9/hi-2011-2-e16-g004.jpg

相似文献

1
Large patent ductus arteriosus in an adult complicated by pulmonary endarteritis and embolic lung abscess.成人巨大动脉导管未闭合并肺动脉内膜炎和栓塞性肺脓肿。
Heart Int. 2011;6(2):e16. doi: 10.4081/hi.2011.e16. Epub 2011 Oct 21.
2
Patent ductus arteriosus with endarteritis; report of a case complicated by pulmonary infarction, treated by ligation of the ductus and segmental pulmonary resection.动脉导管未闭合并动脉内膜炎；一例并发肺梗死病例的报告，经动脉导管结扎和肺段切除术治疗。
Dis Chest. 1953 Feb;23(2):166-70. doi: 10.1378/chest.23.2.166.
3
Does the risk of infective endarteritis justify routine patent ductus arteriosus closure?感染性心内膜炎的风险是否足以证明常规关闭动脉导管未闭是合理的？
Eur Heart J. 1997 Mar;18(3):503-6. doi: 10.1093/oxfordjournals.eurheartj.a015272.
4
Pulmonary endarteritis and subsequent pulmonary embolism associated with clinically silent patent ductus arteriosus.肺动脉炎及随后发生的肺栓塞与临床无症状的动脉导管未闭相关。
Intern Med. 2007;46(19):1663-7. doi: 10.2169/internalmedicine.46.0215. Epub 2007 Oct 1.
5
Pulmonary endarteritis and subsequent embolization to the lung as a complication of a patent ductus arteriosus--a case report.动脉导管未闭并发症之肺动脉动脉炎及随后的肺栓塞——病例报告
Angiology. 2004 Jan-Feb;55(1):99-102. doi: 10.1177/000331970405500115.
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A case of adult patent ductus arteriosus-associated infective endarteritis who was successfully treated with only antibiotics.一例仅通过抗生素治疗成功治愈的成人动脉导管未闭合并感染性心内膜炎病例。
Clin Case Rep. 2023 Mar 14;11(3):e7016. doi: 10.1002/ccr3.7016. eCollection 2023 Mar.
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Pulmonary artery aneurysm caused by infective endarteritis attributed to patent ductus arteriosus in children: a case report and literature review.儿童动脉导管未闭所致感染性心内膜炎引起的肺动脉瘤：一例报告并文献复习
Front Pediatr. 2023 Jul 17;11:1181462. doi: 10.3389/fped.2023.1181462. eCollection 2023.
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A case of pulmonary infective endarteritis associated with patent ductus arteriosus: surgical closure under circulatory arrest.一例与动脉导管未闭相关的肺部感染性动脉内膜炎：循环阻断下的手术闭合
Gen Thorac Cardiovasc Surg. 2011 Aug;59(8):563-5. doi: 10.1007/s11748-010-0729-1. Epub 2011 Aug 18.
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[Patent ductus arteriosus and pulmonary artery endarteritis].动脉导管未闭与肺动脉内膜炎
Arq Bras Cardiol. 1997 Nov;69(5):335-8. doi: 10.1590/s0066-782x1997001100008.
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Ligation of the patent ductus arteriosus complicated by subacute bacterial endarteritis; case report.动脉导管未闭合并亚急性细菌性心内膜炎的结扎术；病例报告。
N Z Med J. 1947 Feb;46(251):35.

引用本文的文献

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Unveiling the Silent Ductus: A Classical Presentation of Patent Ductus Arteriosus in an Asymptomatic 23-Year-Old Male.揭示隐匿性导管：一名无症状23岁男性动脉导管未闭的典型表现。
Cureus. 2023 Jul 30;15(7):e42678. doi: 10.7759/cureus.42678. eCollection 2023 Jul.
2
Echocardiographic findings in patent ductus arteriosus-associated infective endarteritis.动脉导管未闭相关性感染性动脉内膜炎的超声心动图表现。
Anatol J Cardiol. 2021 Nov;25(11):774-780. doi: 10.5152/AnatolJCardiol.2021.36156.
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Unusual Presentation of Patent Ductus Arteriosus in Elderly Patient.

本文引用的文献

1
Patent ductus arteriosus in adults: Case report and review illustrating the spectrum of the disease.成人动脉导管未闭：病例报告及文献复习，阐明该疾病的谱。
Neth Heart J. 2008 Aug;16(7-8):255-9. doi: 10.1007/BF03086157.
2
SURGICAL MANAGEMENT OF THE PATENT DUCTUS ARTERIOSUS: WITH SUMMARY OF FOUR SURGICALLY TREATED CASES.动脉导管未闭的外科治疗：附4例手术治疗总结
Ann Surg. 1939 Sep;110(3):321-56. doi: 10.1097/00000658-193909000-00001.
3
Closure of a large patent ductus arteriosus in adults: first do no harm.成人大型动脉导管未闭的封堵：首先不要造成伤害。
老年患者动脉导管未闭的不典型表现。
Braz J Cardiovasc Surg. 2020 Dec 1;35(6):35-6. doi: 10.21470/1678-9741-2019-0124.
4
endarteritis with infective spondylodiscitis in an adult patient with patent ductus arteriosus.一名患有动脉导管未闭的成年患者出现动脉内膜炎合并感染性脊椎椎间盘炎。
BMJ Case Rep. 2017 Apr 7;2017:bcr-2017-219295. doi: 10.1136/bcr-2017-219295.
5
Pulmonary endarteritis, cerebral abscesses, and a single ventricle: An uncommon combination.肺动脉内膜炎、脑脓肿与单心室：一种罕见的组合。
J Cardiovasc Dis Res. 2012 Jul;3(3):236-9. doi: 10.4103/0975-3583.98901.
Heart. 2007 Apr;93(4):417-8. doi: 10.1136/hrt.2006.101444.
4
Patent ductus arteriosus.动脉导管未闭
Circulation. 2006 Oct 24;114(17):1873-82. doi: 10.1161/CIRCULATIONAHA.105.592063.
5
Systemic and pulmonary embolization in a patient with patent ductus arteriosus.动脉导管未闭患者的体循环和肺循环栓塞
Eur J Echocardiogr. 2005 Oct;6(5):376-8. doi: 10.1016/j.euje.2005.05.006.
6
Operation for adult patent ductus arteriosus using cardiopulmonary bypass.采用体外循环技术治疗成人动脉导管未闭
Ann Thorac Surg. 2000 Dec;70(6):1935-7; discussion 1937-8. doi: 10.1016/s0003-4975(00)01702-1.
7
Images in cardiology: silent patent ductus arteriosus endarteritis.心脏病学影像：无症状动脉导管未闭内膜炎
Heart. 2000 Dec;84(6):619. doi: 10.1136/heart.84.6.619.
8
Patent ductus arteriosus. Follow-up of 677 operated cases 40 years later.
Minerva Cardioangiol. 1999 Jul-Aug;47(7-8):245-54.
9
Does the risk of infective endarteritis justify routine patent ductus arteriosus closure?感染性心内膜炎的风险是否足以证明常规关闭动脉导管未闭是合理的？
Eur Heart J. 1997 Mar;18(3):503-6. doi: 10.1093/oxfordjournals.eurheartj.a015272.
10
Endarteritis associated with a clinically silent patent ductus arteriosus.与临床无症状动脉导管未闭相关的动脉内膜炎。
Am Heart J. 1993 Apr;125(4):1192-3. doi: 10.1016/0002-8703(93)90144-x.