Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.
Department of Cardiothoracic & Vascular Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.
Asian Cardiovasc Thorac Ann. 2021 Oct;29(8):848-851. doi: 10.1177/0218492321998495. Epub 2021 Feb 24.
Mycotic pulmonary artery aneurysms requiring pneumonectomy are extremely rare. We present a severely breathless immunocompromised diabetic middle-aged female patient. CT pulmonary angiogram revealed a giant pulmonary artery aneurysm with impending rupture in the right lung. We did an emergency right pneumonectomy under cardiopulmonary bypass support. Histopathology report of the lung specimen confirmed mucormycosis. She received amphotericin B after the procedure. The patient had a prolonged postoperative hospital stay and succumbed to sepsis. Mycotic pulmonary artery aneurysm portends very high morbidity and mortality in immunocompromised patients.
需要进行肺切除术的真菌性肺动脉动脉瘤极为罕见。我们报告了一例严重呼吸困难的免疫功能低下的中年糖尿病女性患者。胸部 CT 肺动脉造影显示右肺有一个即将破裂的巨大肺动脉动脉瘤。我们在体外循环支持下进行了紧急右肺切除术。肺标本的组织病理学报告证实为毛霉菌病。术后她接受了两性霉素 B 治疗。患者术后住院时间延长，最终死于败血症。真菌性肺动脉动脉瘤在免疫功能低下的患者中预示着极高的发病率和死亡率。
