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左肺动脉缺如合并同侧肺发育不全:反复呼吸道感染的罕见病因

Agenesis of the Left Pulmonary Artery Associated With Hypoplasia of the Homolateral Lung: An Unusual Cause of Recurrent Respiratory Infection.

作者信息

Musallam Mohammed, El Ghazouani Ibtissam, Thouil Afaf, Kouismi Hatim, Gounane Cherifa

机构信息

Department of Pneumology, Centre Hospitalier Universitaire Mohammed VI Oujda, Oujda, MAR.

Faculty of Medicine and Pharmacy, Université Mohammed Premier Oujda, Oujda, MAR.

出版信息

Cureus. 2024 Oct 4;16(10):e70811. doi: 10.7759/cureus.70811. eCollection 2024 Oct.

Abstract

Agenesis of the left pulmonary artery represents a rare malformation, accounting for a small fraction of all cases of congenital heart disease. It is characterized by the absence of the left pulmonary artery, which can lead to respiratory and cardiac complications. This anomaly can appear on a standard chest X-ray, but it must be confirmed by a chest CT scanner, which makes it possible to visualize the absence of the left pulmonary artery and the associated parenchymal anomalies. The involvement of these patients depends on the evolution of their clinical condition, which may require symptomatic treatment and surgical intervention. We present a case of agenesis of the left pulmonary artery in conjunction with hypoplasia of the corresponding lung, diagnosed in a 45-year-old patient following a recurrent respiratory infection.

摘要

左肺动脉缺如为一种罕见的畸形,在所有先天性心脏病病例中占比很小。其特征为左肺动脉缺失,可导致呼吸及心脏并发症。这种异常可在标准胸部X线片上显现,但必须通过胸部CT扫描仪予以确诊,胸部CT扫描仪能够显示左肺动脉缺失及相关的实质异常。这些患者的病情发展情况决定了其治疗需求,这可能需要对症治疗及手术干预。我们报告一例左肺动脉缺如合并相应肺发育不全的病例,该病例为一名45岁患者,在反复呼吸道感染后确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b354/11531653/5b30bcd47417/cureus-0016-00000070811-i01.jpg

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