Sardesai S H, Marshall R J, Farrow R, Mourant A J
Royal Cornwall Hospital (Treliske), Truro, Cornwall, U.K.
Eur Heart J. 1990 Jul;11(7):670-3. doi: 10.1093/oxfordjournals.eurheartj.a059775.
A 54-year-old woman with unoperated patent ductus arteriosus developed fatal cardiac tamponade due to a dissecting aneurysm of the pulmonary artery causing haemopericardium. Histology of the pulmonary artery showed the presence of cystic medial necrosis. Previous reports of this condition are reviewed and the role of pulmonary hypertension causing secondary cystic medial necrosis is discussed.
一名54岁未接受手术治疗的动脉导管未闭女性患者,因肺动脉夹层动脉瘤导致心包积血,进而发展为致命性心脏压塞。肺动脉组织学检查显示存在囊性中层坏死。本文回顾了此前关于该病症的报道,并讨论了肺动脉高压导致继发性囊性中层坏死的作用。