Cardiovascular Surgery Department, The First Hospital of Lanzhou University, #1 The West Donggang Road, Lanzhou, People's Republic of China.
Cardiovascular Surgery Department, The First Hospital of Lanzhou University, #1 The West Donggang Road, Lanzhou, People's Republic of China.
Rev Port Cardiol. 2023 Jul;42(7):667-670. doi: 10.1016/j.repc.2019.08.013. Epub 2023 Mar 21.
Pulmonary artery sarcoma is a rare type of tumor and is easily misdiagnosed. We report a case of pulmonary artery sarcoma in a 26-year-old young man who presented with acute onset of dyspnea. Computed tomographic angiography of the chest had revealed a large filling defect within the main pulmonary artery (PA) that extended into both right and left PAs. Because pulmonary embolism was suspected, both anticoagulant and thrombolytic therapies were initiated. The patient responded poorly to these therapies, leading to the resection of the mass. After an uneventful postoperative course, the patient was discharged from the hospital on postoperative day ten. He was subsequently treated with chemotherapy and continued to show no evidence of disease. Multimodal therapy can provide prolonged survival.
肺动脉肉瘤是一种罕见的肿瘤，容易误诊。我们报告了一例 26 岁年轻男性肺动脉肉瘤病例，该患者以急性呼吸困难起病。胸部计算机断层血管造影显示主肺动脉（PA）内有一个大的充盈缺损，延伸至左右 PA。由于怀疑肺栓塞，同时启动了抗凝和溶栓治疗。但患者对这些治疗反应不佳，导致肿块切除。术后患者无并发症，术后第 10 天出院。随后他接受了化疗，并且一直没有疾病的迹象。多模式治疗可以提供更长期的生存。
