Tami L F, McElderry M W
Department of Internal Medicine, Harper Hospital, Detroit, Michigan.
Angiology. 1994 May;45(5):383-90. doi: 10.1177/000331979404500508.
Although dilatation of the pulmonary artery (PA) is characteristic of pulmonic valve stenosis (PVS), the occurrence of a PA aneurysm in association with PVS is very rare. The authors describe a patient with severe, dome-shaped PVS who developed a 6.5 cm pulmonary trunk aneurysm. Long-term follow-up after surgical valvotomy demonstrated that the size of the aneurysm remained unchanged. Pertinent literature and implications on the natural history and management of these aneurysms are discussed.
虽然肺动脉(PA)扩张是肺动脉瓣狭窄(PVS)的特征,但与PVS相关的PA动脉瘤的发生非常罕见。作者描述了一名患有严重圆顶状PVS的患者,该患者出现了一个6.5厘米的肺动脉干动脉瘤。手术瓣膜切开术后的长期随访表明,动脉瘤的大小保持不变。本文讨论了相关文献以及这些动脉瘤的自然病史和管理意义。