肺动脉瘤：四例病例报告及文献综述
Pulmonary artery aneurysms: four case reports and literature review.
作者信息
Theodoropoulos Panagiotis, Ziganshin Bulat A, Tranquilli Maryann, Elefteriades John A
机构信息
Section of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.
Section of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut ; Department of Surgical Diseases No. 2, Kazan State Medical University, Kazan, Russia.
出版信息
Int J Angiol. 2013 Sep;22(3):143-8. doi: 10.1055/s-0033-1347907.
Aneurysms of the pulmonary artery are proven to be a very rare entity. Association with structural cardiac anomalies, structural vascular anomalies, pulmonary hypertension, vasculitis, and infection has been noted. Surgical intervention of symptomatic aneurysms is recommended. A more detailed study of the natural history of these aneurysms is needed. Here, we report four cases of pulmonary artery aneurysms as well as a brief review of the literature existing on this subject. The first case is of a 41-year-old woman with the aneurysm located 1 cm distal to the pulmonary valve extending to the bifurcation of the main pulmonary artery. The second case is of a 76-year-old woman with a large aneurysm of the main pulmonary artery and the left pulmonary artery. The third case is of a 61-year-old woman with an aneurysm of the common pulmonary artery and right pulmonary artery. The fourth case is of a 28-year-old woman with a 5-cm symptomatic aneurysm extending from the valve up to the pulmonary bifurcation. Surgical excision and reconstruction was ordered for cases 1, 2, and 4.
肺动脉瘤被证实是一种非常罕见的病症。已注意到其与心脏结构异常、血管结构异常、肺动脉高压、血管炎及感染有关。对于有症状的动脉瘤，建议进行手术干预。需要对这些动脉瘤的自然病史进行更详细的研究。在此，我们报告4例肺动脉瘤病例，并对有关该主题的现有文献进行简要综述。第一例是一名41岁女性，动脉瘤位于肺动脉瓣远端1厘米处，延伸至主肺动脉分叉处。第二例是一名76岁女性，主肺动脉和左肺动脉有一个大动脉瘤。第三例是一名61岁女性，共同肺动脉和右肺动脉有一个动脉瘤。第四例是一名28岁女性，有一个5厘米的有症状动脉瘤，从瓣膜延伸至肺动脉分叉处。对第1、2和4例病例进行了手术切除和重建。
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