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左肺动脉瘤:一种与肺动脉瓣狭窄相关的狭窄后肺动脉瘤。

Left Pulmonary Artery Aneurysm: A Post-stenotic Pulmonary Aneurysm Related to Pulmonary Valve Stenosis.

作者信息

Bhattad Pradnya Brijmohan, Yukselen Zeynep, Bhasin Mohit, Roumia Mazen

机构信息

Cardiovascular Medicine, Saint Vincent Hospital, UMass Chan Medical School, Worcester, USA.

Internal Medicine, Saint Vincent Hospital, Worcester, USA.

出版信息

Cureus. 2023 Feb 10;15(2):e34836. doi: 10.7759/cureus.34836. eCollection 2023 Feb.

Abstract

Aneurysms of the pulmonary artery are uncommon vascular pathologies that are associated with congenital structural cardiac anomalies, pulmonary hypertension, vasculitis, neoplasm, iatrogenic, and infection. PAAs are commonly asymptomatic and accidentally diagnosed, however, if symptomatic, clinical features are generally non-specific and depend on the etiology of PAA. CT pulmonary angiography remains the gold standard imaging modality and other diagnostic imaging tests include transthoracic echocardiography and right heart catheterization. Definitive treatment of PAA is surgery, however, conservative management with close monitoring should be practiced in patients with poor surgical candidates or surgery is unlikely to improve survival. Here, we report a case of pulmonary artery aneurysm secondary to congenital pulmonary valve stenosis as well as a brief review of the literature regarding pulmonary artery aneurysms.

摘要

肺动脉瘤是一种罕见的血管病变,与先天性心脏结构异常、肺动脉高压、血管炎、肿瘤、医源性因素及感染有关。肺动脉瘤通常无症状,多为偶然发现,然而,如果出现症状,临床特征一般不具有特异性,且取决于肺动脉瘤的病因。CT肺动脉造影仍是金标准成像方式,其他诊断性成像检查包括经胸超声心动图和右心导管检查。肺动脉瘤的确定性治疗方法是手术,然而,对于手术条件差或手术不太可能提高生存率的患者,应采取密切监测的保守治疗。在此,我们报告一例继发于先天性肺动脉瓣狭窄的肺动脉瘤病例,并对有关肺动脉瘤的文献进行简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a7/10008472/dadeabb2b744/cureus-0015-00000034836-i01.jpg

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