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巨大动脉导管未闭动脉瘤压迫食管

Giant Patent Ductus Arteriosus Aneurysm Compressing the Esophagus.

作者信息

Henmi Soichiro, Nakai Chikashi, Izumi So, Nakashima Yutaka, Tsukube Takuro

机构信息

Division of Cardiovascular Surgery, Japanese Red Cross Kobe Hospital, Kobe, Hyogo, Japan.

Division of Pathology, Japanese Red Cross Fukuoka Hospital, Fukuoka, Fukuoka, Japan.

出版信息

Ann Vasc Dis. 2023;16(4):265-267. doi: 10.3400/avd.avd.cr.23-00047. Epub 2023 Sep 28.

DOI:10.3400/avd.avd.cr.23-00047
PMID:38188975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10766742/
Abstract

It is extremely rare to observe aneurysmal changes in patients with patent ductus arteriosus (PDA), especially in adults. If left untreated, a PDA aneurysm can increase the risk of life-threatening complications, including rupture, dissection, esophageal fistula, and infection. Following is a description of successful surgical repair in a 55-year-old man with PDA aneurysm compressing the esophagus. Histologically, the aneurysmal wall showed mild thickening of the intima and media with hyperplastic smooth muscle cells, but no destructive changes were observed.

摘要

在动脉导管未闭（PDA）患者中观察到动脉瘤样改变极为罕见，尤其是在成人中。如果不进行治疗，PDA动脉瘤会增加危及生命的并发症的风险，包括破裂、夹层形成、食管瘘和感染。以下是一名55岁男性因PDA动脉瘤压迫食管而成功进行手术修复的描述。组织学上，动脉瘤壁显示内膜和中膜轻度增厚，平滑肌细胞增生，但未观察到破坏性改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/babc/10766742/8dcb4e970ca9/avd-16-265-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/babc/10766742/47ca43f60944/avd-16-265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/babc/10766742/8dcb4e970ca9/avd-16-265-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/babc/10766742/47ca43f60944/avd-16-265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/babc/10766742/8dcb4e970ca9/avd-16-265-g002.jpg

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本文引用的文献

1
Sudden Death Caused by Rupture of Spontaneous Ductus Arteriosus Aneurysm in an Adult.成人自发性动脉导管瘤破裂致猝死。
J Forensic Sci. 2020 May;65(3):1004-1008. doi: 10.1111/1556-4029.14264. Epub 2019 Dec 23.
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Surgical strategy for the treatment of aortoesophageal fistula.主动脉-食管瘘的治疗手术策略。
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Aorto-oesophageal and aortobronchial fistulae following thoracic endovascular aortic repair: a national survey.
胸主动脉腔内修复术后发生的主动脉-食管瘘和主动脉-支气管瘘：一项全国性调查。
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