伴有肺动脉瘘的维厄桑斯动脉环巨大动脉瘤。
A Giant Aneurysm of Vieussens' Arterial Ring With Pulmonary Artery Fistula.
作者信息
Nakata Kosuke, Moriyama Shuji, Yoshinaga Takashi, Ishimaru Takehiro, Doi Hideki, Matsumura Toshiyuki, Fukui Toshihiro
机构信息
Department of Cardiovascular Surgery, Kumamoto Rosai Hospital, Yatsushiro, Kumamoto, Japan.
Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan.
出版信息
Ann Thorac Surg Short Rep. 2024 Jun 4;2(4):742-745. doi: 10.1016/j.atssr.2024.05.008. eCollection 2024 Dec.
A 79-year-old woman presented with a systolic murmur and dyspnea on exertion. Transthoracic echocardiography and multidetector-row computed tomography revealed a giant aneurysm in an abnormal vessel known as Vieussens' arterial ring (VAR). A pulmonary artery VAR fistula was also observed. Cardiac catheterization revealed a high pulmonary-to-systemic flow ratio (Qp/Qs = 2.1). We ligated the VAR, resected the aneurysm, and closed the fistula using a bovine pericardial patch. The patient's postoperative clinical course was uneventful.
一名79岁女性因收缩期杂音和劳力性呼吸困难就诊。经胸超声心动图和多排螺旋计算机断层扫描显示，在一个名为维厄桑斯动脉环（VAR）的异常血管中存在巨大动脉瘤。还观察到肺动脉VAR瘘。心导管检查显示肺循环与体循环血流量比值较高（Qp/Qs = 2.1）。我们结扎了VAR，切除了动脉瘤，并使用牛心包补片封闭了瘘口。患者术后临床过程平稳。
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