Cardiac Surgery Department, Dedinje Cardiovascular Institute, Belgrade, Serbia.
Medical Faculty University of Belgrade, Dr Subotica 8, Belgrade, Serbia.
Braz J Cardiovasc Surg. 2020 Dec 1;35(6):35-6. doi: 10.21470/1678-9741-2019-0124.
We presented a case of a 56-year-old man with giant pulmonary artery aneurysm caused by a misdiagnosed patent ductus arteriosus, severe multivalvular disease and active aortic valve endocarditis successfully treated by surgery. The correct diagnosis was missed despite preoperative diagnostics because the small patent ductus arteriosus was located at the distal part of common pulmonary trunk and a huge regurgitant signal overlapped its Doppler signal. Thorough evaluation of every patient, regardless of age, is necessary to recognize and treat this congenital anomaly.
我们报告了一例由误诊的动脉导管未闭、严重的多瓣膜疾病和活跃的主动脉瓣心内膜炎引起的 56 岁男性巨大肺动脉瘤病例，该病例通过手术成功治疗。尽管术前诊断，但由于小的动脉导管未闭位于肺动脉干的远端，并且大量反流信号与其多普勒信号重叠，因此正确的诊断被遗漏。无论年龄大小，都需要对每位患者进行彻底评估，以识别和治疗这种先天性异常。
