因纤维性纵隔炎导致的肺动脉高压经肺静脉狭窄支架置入术成功治疗。
Pulmonary hypertension due to fibrosing mediastinitis treated successfully with stenting of pulmonary vein stenoses.
作者信息
Doucet Katie M, Labinaz Marino, Chandy George, Mielniczuk Lisa, Stewart Duncan, Contreras-Dominguez Vladimir, Pugliese Carolyn, Dennie Carole, Burwash Ian G, Davies Ross A
机构信息
Divisions of Cardiology and Nursing, University of Ottawa, Ottawa, Ontario, Canada.
Divisions of Respirology and Internal Medicine, University of Ottawa, Ottawa, Ontario, Canada.
出版信息
Can J Cardiol. 2015 Apr;31(4):548.e5-7. doi: 10.1016/j.cjca.2014.12.025. Epub 2014 Dec 24.
We describe a patient with fibrosing mediastinitis after childhood histoplasmosis who presented with severe pulmonary hypertension secondary to pulmonary vein stenoses. Stenting of 2 stenosed pulmonary veins via a transseptal approach resulted in an immediate decrease in systolic pulmonary artery pressure from 90 to 68 mm Hg and improvement in dyspnea and cardiac index, which was sustained at 6 months. This case highlights the importance of routinely assessing the pulmonary veins during workup for pulmonary hypertension.
我们描述了一名儿童期组织胞浆菌病后发生纤维性纵隔炎的患者，该患者因肺静脉狭窄出现严重肺动脉高压。经房间隔途径对2条狭窄的肺静脉进行支架置入术，使收缩期肺动脉压立即从90 mmHg降至68 mmHg，并改善了呼吸困难和心脏指数，这种改善在6个月时仍持续存在。该病例强调了在肺动脉高压检查过程中常规评估肺静脉的重要性。
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