Soorae A S, Stevenson H M
Br J Dis Chest. 1980 Apr;74(2):193-7. doi: 10.1016/0007-0971(80)90034-0.
A 36-year-old man presented with chest pain, an anterior mediastinal mass and a loud pulmonary systolic murmur. At operation a large, tense, well encapsulated, cystic thymoma was found to be compressing the right ventricular outflow tract and the main pulmonary trunk, producing a systolic thrill over the artery. After excision of the cyst, the thrill and the murmur disappeared and there was complete symptomatic relief. Classification, pathology, clinical presentation, diagnosis and treatment of cysts of the thymus are discussed. The syndrome of pulmonary artery compression characterized by a triad of chest pain, dyspnoea and a loud pulmonary systolic murmur, which decreases in intensity during inspiration, is described. Pertinent literature on cysts of the thymus, and acquired pulmonary stenosis due to extrinsic compression is reviewed.
一名36岁男性因胸痛、前纵隔肿块及响亮的肺动脉收缩期杂音就诊。手术中发现一个巨大、紧张、包膜完整的囊性胸腺瘤，压迫右心室流出道和主肺动脉，在动脉上产生收缩期震颤。切除囊肿后，震颤和杂音消失，症状完全缓解。本文讨论了胸腺囊肿的分类、病理、临床表现、诊断和治疗。描述了以胸痛、呼吸困难和响亮的肺动脉收缩期杂音为三联征、吸气时杂音强度减弱为特征的肺动脉受压综合征。回顾了有关胸腺囊肿及外源性压迫所致后天性肺动脉狭窄的相关文献。
