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动脉导管未闭继发巨大肺动脉瘤:一例报告

Giant pulmonary artery aneurysm secondary to patent ductus arteriosus: a case report.

作者信息

Bezgin Tahir, Demircan Hacer C, Kaymaz Cihangir

机构信息

Kartal Kouyolu Heart Research Hospital, Denizer Cad. 34846 Cevizli Kartal-stanbul, Turkey.

出版信息

Curr Cardiol Rev. 2015;11(2):163-6. doi: 10.2174/1573403x1102141224145247.

DOI:10.2174/1573403x1102141224145247
PMID:25545802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4356724/
Abstract

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.

摘要

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。

相似文献

1
Giant pulmonary artery aneurysm secondary to patent ductus arteriosus: a case report.动脉导管未闭继发巨大肺动脉瘤:一例报告
Curr Cardiol Rev. 2015;11(2):163-6. doi: 10.2174/1573403x1102141224145247.
2
[Case report: 3D CT angiography in a patient with patent ductus arteriosus associated with Eisenmenger's syndrome].[病例报告:三维CT血管造影在一名患有动脉导管未闭合并艾森曼格综合征患者中的应用]
Tani Girisim Radyol. 2003 Mar;9(1):84-6.
3
Patent ductus arteriosus with Eisenmenger's syndrome detected by first-pass study.
Clin Nucl Med. 1989 Nov;14(11):834-7. doi: 10.1097/00003072-198911000-00012.
4
Successful Pulmonary Artery Embolization for the Management of Hemoptysis in a Patient with Eisenmenger Syndrome Caused by Patent Ductus Arteriosus.成功进行肺动脉栓塞术治疗动脉导管未闭所致艾森曼格综合征患者的咯血
Intern Med. 2017 Dec 15;56(24):3299-3304. doi: 10.2169/internalmedicine.9071-17. Epub 2017 Oct 11.
5
Roentgenogram and electrocardiogram of the month. Patent ductus arteriosus with Eisenmenger's reaction.
Bol Asoc Med P R. 1980 Dec;72(12):628-33.
6
Single lung transplantation and closure of patent ductus arteriosus for Eisenmenger's syndrome. Toronto Lung Transplant Group.
J Thorac Cardiovasc Surg. 1990 Jul;100(1):1-5.
7
The value of contrast echocardiography in the diagnosis of patent ductus arteriosus with Eisenmenger's syndrome.对比超声心动图在诊断艾森曼格综合征合并动脉导管未闭中的价值。
J Am Soc Echocardiogr. 2001 Jan;14(1):57-9. doi: 10.1067/mje.2001.107007.
8
Patent ductus arteriosus with Eisenmenger syndrome.动脉导管未闭合并艾森曼格综合征
Heart Lung Circ. 2013 Nov;22(11):968-9. doi: 10.1016/j.hlc.2013.03.071. Epub 2013 Apr 11.
9
Eisenmenger's syndrome and agenesis of the right pulmonary artery: a case of double diagnosis.艾森曼格综合征合并右肺动脉缺如:双重诊断病例。
Cardiol J. 2013;20(1):103-5. doi: 10.5603/CJ.2013.0018.
10
Giant pulmonary trunk with Eisenmenger flow through patent ductus arteriosus.巨大肺动脉主干伴经动脉导管未闭的艾森曼格血流。
Int J Cardiol. 2016 Feb 1;204:248-51. doi: 10.1016/j.ijcard.2015.11.142. Epub 2015 Nov 23.

本文引用的文献

1
Aneurysm of the pulmonary artery; review of the literature and report of a case.肺动脉瘤;文献综述及病例报告
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2
Idiopathic pulmonary artery aneurysm treated with surgical correction and concomitant coronary artery bypass grafting.采用手术矫正及同期冠状动脉旁路移植术治疗特发性肺动脉瘤。
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Huge pulmonary artery aneurysm.巨大肺动脉瘤。
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Idiopathic asymptomatic main pulmonary artery aneurysm: surgery or conservative management? A case report.特发性无症状主肺动脉瘤:手术还是保守治疗?一例病例报告。
Heart Surg Forum. 2007;10(4):E273-5. doi: 10.1532/HSF98.20061199.
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Idiopathic pulmonary artery aneurysm.特发性肺动脉瘤
Ann Thorac Surg. 2005 Oct;80(4):1500-2. doi: 10.1016/j.athoracsur.2004.04.011.
6
Pulmonary artery dissection: an emerging cardiovascular complication in surviving patients with chronic pulmonary hypertension.肺动脉夹层:慢性肺动脉高压存活患者中一种新出现的心血管并发症。
Heart. 2005 Feb;91(2):142-5. doi: 10.1136/hrt.2004.045799.
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Main pulmonary artery aneurysm: a case report and review of the literature.主肺动脉瘤:一例病例报告及文献综述
Ital Heart J. 2004 Mar;5(3):232-7.
8
Low pressure giant pulmonary artery aneurysms in the adult: natural history and management strategies.成人低压性巨大肺动脉瘤:自然病程及管理策略
Heart. 2003 Sep;89(9):1067-70. doi: 10.1136/heart.89.9.1067.
9
Rupture and dissection in pulmonary artery aneurysms: incidence, cause, and treatment--review and case report.肺动脉瘤破裂与夹层:发病率、病因及治疗——综述与病例报告
J Thorac Cardiovasc Surg. 2001 May;121(5):1006-8. doi: 10.1067/mtc.2001.112634.
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Surgical repair of the pulmonary trunk aneurysm.肺动脉干动脉瘤的手术修复。
Eur J Cardiothorac Surg. 2000 Nov;18(5):535-9. doi: 10.1016/s1010-7940(00)00568-6.