de Montpréville V T, Macchiarini P, Dartevelle P G, Dulmet E M
Department of Surgical Pathology, Marie Lannelongue Surgical Center (Université Paris-Sud), Le-Plessis-Robinson, France.
Respiration. 1996;63(1):49-51. doi: 10.1159/000196515.
An 18-year-old man presented with Behçet's disease and two large bilateral pulmonary artery aneurysms. The day following aneurysmorrhaphy of the right aneurysm, a massive hemoptysis led to death. Postmortem examination disclosed rupture of the left aneurysm in a segmental bronchus. The aneurysms had inflammatory walls and were associated with organized pulmonary arterial thromboses and endomyocardial fibrosis of the right ventricle. Our case report highlights the surgical risk of rupture of associated arterial lesions, certainly related to per- and postoperative pulmonary arterial pressure variations.
一名18岁男性患有白塞病并伴有双侧两个巨大的肺动脉瘤。右侧动脉瘤进行瘤体缝补术后次日，一次大量咯血导致患者死亡。尸检发现左动脉瘤在一段支气管处破裂。动脉瘤壁有炎症，伴有机化的肺动脉血栓形成及右心室心内膜纤维化。我们的病例报告强调了相关动脉病变破裂的手术风险，这肯定与围手术期及术后肺动脉压力变化有关。
