Symptomatic idiopathic pulmonary artery aneurysm: a case report and a mini-review of the literature.

IF 1.3 American journal of cardiovascular disease Pub Date : 2024-08-25 eCollection Date: 2024-01-01 DOI:10.62347/DBOS5122
Caitlin Merrin, Nyein Chan Swe, George Degheim
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引用次数: 0

Abstract

Pulmonary artery aneurysms (PAAs) are rare, more prevalent in younger population with equal sex incidence. Congenital, idiopathic, autoimmune, infectious, inflammatory, and malignant etiologies have been linked to PAAs. Commonly, patients with PAA are asymptomatic, even those with large PAAs. Presenting symptoms, if any, are non-specific. The management should target the underlying conditions and serial imaging follow-up. Signs and symptoms of disease progression should prompt a change in treatment strategy. Though there is no consensus, those who are symptomatic with a PAA diameter > 5 cm generally should undergo surgical repair. More recently, endovascular interventions are available for certain PAAs. We present a 78-year-old female who was referred to the cardiology clinic for cough and dyspnea. Using computed tomography (CTA) of the chest, she was diagnosed with aneurysm of the main pulmonary artery (PA), without involvement of distal pulmonary arteries or thoracic aorta. She underwent repair of the pulmonary artery using a 34-mm tubular graft with a complete resolution of her symptoms.

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症状性特发性肺动脉瘤:病例报告和文献综述。
肺动脉瘤(PAA)是一种罕见疾病,多发于年轻人群,男女发病率相同。先天性、特发性、自身免疫性、感染性、炎症性和恶性病因都与 PAA 有关。通常情况下,PAA 患者没有任何症状,即使是巨大的 PAA 患者也是如此。如果出现症状,也是非特异性的。治疗应针对潜在的疾病和连续的影像学随访。疾病进展的迹象和症状应促使治疗策略发生改变。虽然目前还没有达成共识,但有症状且 PAA 直径大于 5 厘米的患者一般应接受手术修复。最近,某些 PAA 可以采用血管内介入治疗。我们为您介绍一位因咳嗽和呼吸困难而被转诊到心脏病诊所的 78 岁女性。通过胸部计算机断层扫描(CTA),她被诊断为主肺动脉(PA)动脉瘤,未累及远端肺动脉或胸主动脉。她接受了使用 34 毫米管状移植物修复肺动脉的手术,症状完全缓解。
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来源期刊
American journal of cardiovascular disease
American journal of cardiovascular disease CARDIAC & CARDIOVASCULAR SYSTEMS-
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发文量
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