主肺动脉干内阻塞性肉芽肿。
Obstructing Granuloma in Main Pulmonary Trunk.
机构信息
Department of Anesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Department of Anesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
出版信息
Ann Thorac Surg. 2020 Feb;109(2):e109-e111. doi: 10.1016/j.athoracsur.2019.05.056. Epub 2019 Jul 10.
A patient with main pulmonary artery mass may have severe symptoms and warrants urgent surgical management, whereas in a stable patient with a diagnosis amenable to medical treatment, medical management should be started while monitoring the size of the lesion. We report a case in which the patient experienced severe right heart dysfunction due to obstruction of the main pulmonary artery, diagnosed as a probable thrombus, and the patient was taken for urgent surgical excision, later diagnosed as tuberculoma on histopathologic examination.
一位患有主肺动脉肿块的患者可能会有严重的症状，需要紧急手术治疗，而对于诊断为可接受药物治疗且病情稳定的患者，应在开始药物治疗的同时监测病变大小。我们报告了一例因主肺动脉阻塞而导致严重右心功能障碍的患者，诊断为可能的血栓，患者被紧急手术切除，随后在组织病理学检查中诊断为结核瘤。
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