Coleman M, Slater D, Bell R
Br Heart J. 1980 Oct;44(4):464-8. doi: 10.1136/hrt.44.4.464.
Fatal haemopericardium occurred in a 14-year-old boy after rupture of a pulmonary artery aneurysm. Persistent ductus arteriosus with severe pulmonary hypertension was confirmed by cardiac catheterisation when he was 4 weeks old. Attempted closure of the ductus at 4 years had not been possible because of apparent high pulmonary resistance. Exercise tolerance had been good enough to permit competitive horse riding up to the day of death. Light and electron microsocpy showed widespread cystic medionecrosis of the elastic pulmonary arteries.
一名14岁男孩在肺动脉瘤破裂后发生致命性心包积血。他4周大时经心导管检查确诊为动脉导管未闭合并严重肺动脉高压。4岁时因明显的高肺阻力未能成功闭合动脉导管。直至死亡当天，其运动耐量一直良好，足以参加骑马比赛。光镜和电镜检查显示弹性肺动脉广泛存在囊性中层坏死。
