Adodo Didier K, Kloeckner Martin, Bergoend Eric, Couëtil Jean-Paul
Department of Thoracic and Cardiovascular Surgery, University Hospital Group Henri Mondor, APHP, Paris-Est Créteil University, Créteil, France.
Departement of Cardiology, University Hospital Group Henri Mondor, APHP, Paris-Est Créteil University, Créteil, France.
Ann Thorac Surg. 2017 Jan;103(1):e47-e49. doi: 10.1016/j.athoracsur.2016.06.052.
Pulmonary artery dissection was diagnosed in a 32-year-old man who was admitted to the emergency department with intense chest pain. He had a history of pulmonary balloon valvuloplasty for congenital pulmonary stenosis at the age of 7 and no pulmonary hypertension. The operation was performed with cardiopulmonary bypass. The dissected pulmonary arterial trunk was removed with the distorted valve, and replaced with a pulmonary artery homograft. The postoperative course was uneventful. Histologic examination revealed medionecrosis. Pulmonary artery dissection is a rare but highly lethal pathology. In the absence of pulmonary hypertension, surgical treatment with homograft replacement can lead to excellent results.
一名32岁男性因剧烈胸痛被送入急诊科，诊断为肺动脉夹层。他7岁时因先天性肺动脉狭窄接受过肺动脉球囊瓣膜成形术，无肺动脉高压病史。手术在体外循环下进行。切除了伴有瓣膜扭曲的夹层肺动脉主干，并用同种异体肺动脉进行了置换。术后过程顺利。组织学检查显示中层坏死。肺动脉夹层是一种罕见但极具致死性的病理状况。在无肺动脉高压的情况下，采用同种异体移植置换进行手术治疗可取得良好效果。
