Goncharova N S, Kazimli A V, Najmushin A V, Samokhvalova M V, Remeikite M V, Pakhomov A V, Ryzhkov A V, Moiseeva O M
Almazov Federal North-West Medical Research Centre, Saint-Petersburg, Russia.
Kardiologiia. 2015 Dec;55(12):116-120. doi: 10.18565/cardio.2015.12.116-120.
Takayasu arteritis is well-known rare form of large vessel vasculitis. Pulmonary involvement is observed in 50% of cases. However, pulmonary hypertension is a rare complication of pulmonary artery stenosis. In this article we present a rare clinical case of Takayasus arteritis with typical stenosis of subclavian, carotid arteries, and involvement of pulmonary arteries with development of severe pulmonary hypertension. The article also contains discussion of current methods of diagnosis and treatment of pulmonary artery stenosis in Takayasus arteritis with special focus on effectiveness and complications of angioplasty and surgery.
高安动脉炎是一种著名的罕见的大血管血管炎。50%的病例中可观察到肺部受累。然而,肺动脉高压是肺动脉狭窄的一种罕见并发症。在本文中,我们呈现了一例罕见的高安动脉炎临床病例,其具有典型的锁骨下动脉、颈动脉狭窄以及肺动脉受累并发展为严重肺动脉高压。本文还讨论了高安动脉炎中肺动脉狭窄的当前诊断和治疗方法,特别关注血管成形术和手术的有效性及并发症。