Wu Pengpeng, Zheng Chao, Zhang Feng, Wang Pingsheng, Zhang Haiyong, Chen Gang
Department of Pediatric Cardiothoracic Surgery, Anhui Provincial Children's Hospital, Anhui, China.
Pediatric Cardiovascular Center, Children's Hospital, Fudan University, Shanghai, China.
Front Pediatr. 2023 Jul 17;11:1181462. doi: 10.3389/fped.2023.1181462. eCollection 2023.
We report a case of a 10-year-old male patient with pulmonary artery aneurysm (PAA) caused by infective endarteritis of the pulmonary artery attributed to patent ductus arteriosus. He was found to have patent ductus arteriosus at the age of 2, but he was not treated because of the absence of symptoms and normal physical development. He sought medical attention for fever and cough in August 2022. Echocardiography showed pulmonary artery aneurysm, intrapulmonary artery bulge, patent ductus arteriosus, and pericardial effusion. Contrast-enhanced CT showed pulmonary artery aneurysm, patent ductus arteriosus, and a slight compression of the left main bronchus. Surgery was performed to reconstruct the main pulmonary trunk and repair the ductus arteriosus in November 2022. The surgical outcomes were satisfactory.
我们报告一例10岁男性患者，其因动脉导管未闭导致的肺动脉感染性动脉内膜炎引发肺动脉瘤（PAA）。他在2岁时被发现患有动脉导管未闭，但由于无症状且身体发育正常，未接受治疗。2022年8月，他因发热和咳嗽就医。超声心动图显示有肺动脉瘤、肺动脉内膨出、动脉导管未闭和心包积液。增强CT显示有肺动脉瘤、动脉导管未闭以及左主支气管轻度受压。2022年11月进行了手术，重建主肺动脉干并修复动脉导管未闭。手术结果令人满意。
