Bezgin Tahir, Demircan Hacer C, Kaymaz Cihangir
Kartal Kouyolu Heart Research Hospital, Denizer Cad. 34846 Cevizli Kartal-stanbul, Turkey.
Curr Cardiol Rev. 2015;11(2):163-6. doi: 10.2174/1573403x1102141224145247.
Aneurysms involving the main pulmonary artery and its branches are rare. Clinical experience is limited, and their management is not well established. We present the case of a 35-year-old male patient with dyspnea and hemoptysis in whom subsequent imaging studies revealed a giant pulmonary artery aneurysm associated with an uncorrected patent ductus arteriosus and Eisenmenger's syndrome. We chose to treat the patient conservatively with medical management due to the development of Eisenmenger's physiology while waiting for heart-lung transplantation.
累及主肺动脉及其分支的动脉瘤较为罕见。临床经验有限,其治疗方法尚未完全确立。我们报告一例35岁男性患者,有呼吸困难和咯血症状,后续影像学检查发现一个巨大的肺动脉瘤,伴有未纠正的动脉导管未闭和艾森曼格综合征。由于艾森曼格生理状态的出现,我们选择在等待心肺移植期间对该患者进行保守治疗。