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[肺动脉高压的罕见病因:高安动脉炎所致双侧肺动脉受累及支架再狭窄]

[A rare cause of pulmonary hypertension: bilateral pulmonary artery involvement and stent restenosis due to Takayasu arteritis].

作者信息

Taçoy Gülten, Abacı Adnan, Önal Baran, Haznedaroğlu Seminur, Akdemir Ramazan

机构信息

Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey.

Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk Kardiyol Dern Ars. 2014 Jun;42(4):389-94. doi: 10.5543/tkda.2014.98371.

Abstract

A 53-year-old female patient was admitted with dyspnea and fatigue. On transthoracic echocardiography, systolic pulmonary artery pressure (PAP) was measured as 90 mmHg, and right heart catheterization revealed pulmonary arterial hypertension. Pulmonary angiography demonstrated bilateral pulmonary artery stenosis, and the diagnosis was determined as Takayasu arteritis. Balloon angioplasty was performed under corticosteroid and immunosuppressive treatment. In this case report, we describe a patient in whom bilateral pulmonary artery stenosis developed due to Takayasu arteritis, and we discuss the patient in light of the current literature.

摘要

一名53岁女性患者因呼吸困难和疲劳入院。经胸超声心动图检查显示收缩期肺动脉压(PAP)为90mmHg,右心导管检查提示肺动脉高压。肺血管造影显示双侧肺动脉狭窄,诊断为大动脉炎。在皮质类固醇和免疫抑制治疗的同时进行了球囊血管成形术。在本病例报告中,我们描述了一名因大动脉炎导致双侧肺动脉狭窄的患者,并结合当前文献对该患者进行了讨论。

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