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肺动脉瘤:综述

Pulmonary artery aneurysm: a review.

作者信息

Gupta Mridul, Agrawal Abhinav, Iakovou Annamaria, Cohen Stuart, Shah Rakesh, Talwar Arunabh

机构信息

Department of Medicine, Monmouth Medical Center, Long Branch, NJ, USA.

Division of Pulmonary, Critical Care and Sleep Medicine, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA.

出版信息

Pulm Circ. 2020 Feb 28;10(1):2045894020908780. doi: 10.1177/2045894020908780. eCollection 2020 Jan-Mar.

Abstract

Pulmonary artery aneurysm is a rare but important entity in the spectrum of pulmonary vascular diseases. The etiologies can be varied and patients can present with non-specific symptoms with the diagnosis being incidental. There is limited consensus regarding the diagnostic criteria and follow-up imaging for patients diagnosed with this entity. Further the management strategies can be variable depending upon underlying disease, etiology, center dependent expertise, and resources available. We review the etiologies, epidemiology, classification, clinical manifestations, and imaging features of pulmonary artery aneurysm. We also review the current management strategies and suggest an algorithmic approach to these patients.

摘要

肺动脉瘤是肺血管疾病谱中一种罕见但重要的病症。其病因多样,患者可能表现出非特异性症状,诊断多为偶然发现。对于诊断为此病症的患者,在诊断标准和随访影像学方面的共识有限。此外,管理策略可能因基础疾病、病因、中心相关专业知识和可用资源的不同而有所差异。我们综述了肺动脉瘤的病因、流行病学、分类、临床表现和影像学特征。我们还综述了当前的管理策略,并针对这些患者提出了一种算法式方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe9/7052473/32446ce68920/10.1177_2045894020908780-fig1.jpg

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