Wiedenroth Christoph B, Guth Stefan, Rolf Andreas, Mayer Eckhard
Department of Thoracic Surgery, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany.
Department of Cardiology, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany.
Thorac Cardiovasc Surg Rep. 2014 Dec;3(1):55-7. doi: 10.1055/s-0034-1376176. Epub 2014 May 29.
A 21-year-old male patient with massive acute pulmonary embolism was treated by thrombolysis, interventional thrombus fragmentation, and surgical pulmonary embolectomy. Within the following 2 years, the patient developed progressive dyspnea at exertion. Chronic thromboembolic pulmonary hypertension was diagnosed by right-heart catheter, VQ scan, magnetic resonance, and conventional pulmonary angiography. A normalization of the patient's exercise capacity and pulmonary hemodynamics could be achieved by pulmonary endarterectomy and patch reconstruction of the right main pulmonary artery.
一名21岁的男性患者因大面积急性肺栓塞接受了溶栓、介入性血栓碎裂及外科肺动脉血栓切除术治疗。在接下来的2年里，患者出现进行性劳力性呼吸困难。通过右心导管检查、通气/灌注扫描、磁共振成像及传统肺血管造影诊断为慢性血栓栓塞性肺动脉高压。通过肺动脉内膜切除术及右主肺动脉补片重建，患者的运动能力及肺血流动力学得以恢复正常。
