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纵隔皮样囊肿外部压迫导致的后天性肺动脉瓣上狭窄。

Acquired supravalvular pulmonary stenosis due to extrinsic compression by a mediastinal dermoid cyst.

作者信息

Singh Jitendeep, Singh Harkant, Vijayvergiya Rajesh, Sarangi Siddharth

机构信息

Department of Cardiothoracic Surgery, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India.

出版信息

Eur J Cardiothorac Surg. 2014 Mar;45(3):576-8. doi: 10.1093/ejcts/ezt314. Epub 2013 Jul 4.

DOI:10.1093/ejcts/ezt314
PMID:23828847
Abstract

Acquired pulmonary stenosis is rare. When it occurs, it usually results from compression of the pulmonary artery or the heart by a mediastinal tumour. As these masses rarely cause compression that results in murmurs, it is hard to make a diagnosis. We describe a 23-year-old female patient who presented with dull, aching chest pain lasting for 6 months. Echocardiography showed a large anterior mediastinal cystic mass compressing the main pulmonary artery. She was operated through a left anterolateral thoracotomy and had an uneventful recovery.

摘要

获得性肺动脉狭窄较为罕见。当它发生时,通常是由于纵隔肿瘤压迫肺动脉或心脏所致。由于这些肿块很少引起导致杂音的压迫,因此很难做出诊断。我们描述了一位23岁的女性患者,她出现持续6个月的钝痛、胸痛。超声心动图显示一个巨大的前纵隔囊性肿块压迫主肺动脉。她通过左前外侧开胸手术进行了治疗,术后恢复顺利。

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