Er Ulubaba Hilal, Ateşoğlu Karabaş Sibel, Çiftçi Rukiye, Yoldaş Atila
Department of Radiology, Yeşilyurt Hasan Çalık State Hospital, Malatya, Turkey.
Department of Anatomy, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey.
Thorac Res Pract. 2023 Jan;24(1):40-44. doi: 10.5152/ThoracResPract.2023.22107.
This study aimed to determine the maximum diameters of the pulmonary artery and ascending aorta and their ratio to each other to enable early diagnosis and treatment of possible pulmonary hypertension and to prevent possible complications in patients infected with severe acute respiratory syndrome coronavirus 2.
A total of 120 patients aged 40 years and older, 60 patients (30 females and 30 males) with severe acute respiratory syndrome coronavirus 2 infection and 60 individuals (30 females and 30 males), were included in this retrospective study. Maximum pulmonary artery and maximum ascending aorta diameters were measured at the level of bifurcatio trunci pulmonalis in the transverse axial plane by computed tomography, and their ratios to each other were determined.
Our study revealed a statistically significant increase in maximum pulmonary artery and maximum ascending aorta diameters in both genders in patients with coronavirus disease 2019 compared to the control group and a statistically significant increase was found in the maximum pulmonary artery-maximum ascending aorta ratio in women with coronavirus disease 2019 compared to the control group (P < .05).
Knowing the diameters of maximum pulmonary artery and maximum ascending aorta and the maximum pulmonary artery-maximum ascending aorta ratio in hospitalized severe acute respiratory syndrome coronavirus 2-infected patients is a valuable predictive marker of pulmonary hypertension and a guide in determining the appropriate treatment. These data, which are easy to calculate from thorax computed tomography, may be beneficial in the prognosis of the disease.
本研究旨在确定肺动脉和升主动脉的最大直径及其相互比值，以便对可能的肺动脉高压进行早期诊断和治疗，并预防严重急性呼吸综合征冠状病毒2感染患者可能出现的并发症。
本回顾性研究共纳入120例40岁及以上患者，其中60例（30例女性和30例男性）为严重急性呼吸综合征冠状病毒2感染患者，60例（30例女性和30例男性）为对照个体。通过计算机断层扫描在横断轴面上于肺动脉干分叉水平测量肺动脉最大直径和升主动脉最大直径，并确定它们的相互比值。
我们的研究显示，与对照组相比，2019冠状病毒病患者中男性和女性的肺动脉最大直径和升主动脉最大直径均有统计学意义的增加，且与对照组相比，2019冠状病毒病女性患者的肺动脉最大直径与升主动脉最大直径之比有统计学意义的增加（P <.05）。
了解住院的严重急性呼吸综合征冠状病毒2感染患者的肺动脉最大直径、升主动脉最大直径以及肺动脉最大直径与升主动脉最大直径之比，是肺动脉高压的一个有价值的预测指标，也是确定适当治疗方法的指南。这些数据易于从胸部计算机断层扫描中计算得出，可能对疾病的预后有益。
