Singh Vikas, Khare Rashi, Chandra Sharad, Dwivedi Sudhanshu Kumar
Department of Cardiology, Paras HMRI Hospital, Patna, India.
Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Heart Views. 2014 Jul;15(3):89-92. doi: 10.4103/1995-705X.144802.
Pulmonary artery (PA) aneurysm is a rare condition, frequently associated with pulmonary hypertension. However, the evolution and treatment of this pathology is still not clear. We report a case of a 45-year-old female patient with giant PA aneurysm associated with rheumatic mitral stenosis and severe pulmonary arterial hypertension. The patient had undergone balloon mitral valvotomy around 7 years back; aneurysm was first identified 3 years back during routine follow-up. The PA aneurysm size, however, had remained almost unchanged with associated severe pulmonary regurgitation. Surgical correction was advised but denied by the patient. To our knowledge, this is the first case report of such a large PA aneurysm in association with rheumatic heart disease. Although medical therapy for pulmonary hypertension was started, surgical correction of the aneurysm was advised in order to prevent the future complications.
肺动脉（PA）瘤是一种罕见疾病，常与肺动脉高压相关。然而，这种病变的演变和治疗仍不明确。我们报告一例45岁女性患者，患有巨大PA瘤，伴有风湿性二尖瓣狭窄和重度肺动脉高压。该患者约7年前接受了球囊二尖瓣成形术；3年前常规随访时首次发现动脉瘤。然而，PA瘤大小几乎未变，伴有严重的肺动脉反流。建议进行手术矫正，但患者拒绝。据我们所知，这是首例如此大的PA瘤合并风湿性心脏病的病例报告。尽管已开始针对肺动脉高压的药物治疗，但为预防未来并发症，仍建议对动脉瘤进行手术矫正。
