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产后诊断的单侧肺动脉发育不全的非典型表现。

Atypical presentation of unilateral pulmonary artery agenesis diagnosed postpartum.

作者信息

Ayalew Zekarias, Azibte Gebeyehu, Anagaw Yinager Minaye

机构信息

Department of Internal Medicine, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia.

Department of Radiology, Bahir Dar University, College of Health Sciences, Bahirdar Ethiopia.

出版信息

Radiol Case Rep. 2024 Jun 19;19(9):3805-3809. doi: 10.1016/j.radcr.2024.05.071. eCollection 2024 Sep.

DOI:10.1016/j.radcr.2024.05.071
PMID:39006093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11245910/
Abstract

A 27-year-old woman developed a cough, shortness of breath, and symptoms mimicking pregnancy complications 6 days after childbirth. Unilateral pulmonary artery agenesis (UAPA), a rare congenital condition, was diagnosed through a chest CT scan. This case highlights the variable presentation of UAPA, even in adults, and the challenges of diagnosis during the postpartum period. Early diagnosis and management are critical for improving pregnancy outcomes in women with UAPA.

摘要

一名27岁女性在产后6天出现咳嗽、呼吸急促以及类似妊娠并发症的症状。通过胸部CT扫描诊断为单侧肺动脉缺如(UAPA),这是一种罕见的先天性疾病。该病例突出了UAPA的表现多样,即使在成人中也是如此,以及产后诊断的挑战。早期诊断和管理对于改善患有UAPA的女性的妊娠结局至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/6cbdd5dfb1a6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/153b9f38cc12/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/157f774baf5b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/00a483efa1b9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/de7453ebccb5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/7bcd627f7e51/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/6cbdd5dfb1a6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/153b9f38cc12/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/157f774baf5b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/00a483efa1b9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/de7453ebccb5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/7bcd627f7e51/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ad/11245910/6cbdd5dfb1a6/gr6.jpg

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本文引用的文献

1
Unilateral Absent Pulmonary Artery in Pregnancy: A Case Report and Systematic Literature Review.妊娠合并单侧肺动脉缺如 1 例报道及系统文献复习。
Am J Perinatol. 2024 May;41(S 01):e3276-e3285. doi: 10.1055/a-2217-0241. Epub 2023 Nov 23.
2
A comprehensive study of congenital unilateral absence of branch pulmonary artery associated with other congenital heart defects and ipsilateral non-unifocalizable major aorto-pulmonary collateral arteries: A single-center retrospective study.先天性单侧肺动脉分支缺如合并其他先天性心脏缺陷及同侧不可定位的主要体肺侧支动脉的综合研究:一项单中心回顾性研究
Ann Pediatr Cardiol. 2021 Apr-Jun;14(2):139-145. doi: 10.4103/apc.APC_99_20. Epub 2021 Apr 10.
3
Neonatal diagnosis of isolated absence of the right pulmonary artery: a case report and review of the literature.
孤立性右肺动脉缺如的新生儿诊断:病例报告及文献复习。
Ital J Pediatr. 2018 Feb 20;44(1):27. doi: 10.1186/s13052-018-0465-1.
4
Unilateral absence of pulmonary artery: pathophysiology, symptoms, diagnosis and current treatment.单侧肺动脉缺如:病理生理学、症状、诊断和当前治疗。
Arch Cardiovasc Dis. 2013 Aug-Sep;106(8-9):448-54. doi: 10.1016/j.acvd.2013.05.004. Epub 2013 Aug 9.
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Unilateral absence of a pulmonary artery: a rare disorder with variable presentation.单侧肺动脉缺如:一种表现多样的罕见疾病。
Proc (Bayl Univ Med Cent). 2012 Apr;25(2):115-8. doi: 10.1080/08998280.2012.11928802.
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Interact Cardiovasc Thorac Surg. 2011 Mar;12(3):509-10. doi: 10.1510/icvts.2010.250795A.
7
Imaging features of isolated unilateral pulmonary artery agenesis presenting in adulthood: a review of four cases.成人孤立性单侧肺动脉发育不全的影像学特征:4例病例回顾
Clin Radiol. 2007 Mar;62(3):238-44. doi: 10.1016/j.crad.2006.10.006.
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Congenital unilateral pulmonary artery agenesis and aspergilloma.先天性单侧肺动脉发育不全与曲霉菌瘤
Ann Thorac Surg. 2002 Dec;74(6):2169-71. doi: 10.1016/s0003-4975(02)03979-6.
9
Isolated unilateral absence of a pulmonary artery: a case report and review of the literature.孤立性单侧肺动脉缺如:一例病例报告及文献复习
Chest. 2002 Oct;122(4):1471-7. doi: 10.1378/chest.122.4.1471.
10
The varied manifestation of pulmonary artery agenesis in adulthood.成人肺动脉发育不全的多样表现。
Chest. 1995 Sep;108(3):670-6. doi: 10.1378/chest.108.3.670.