[1]顾沅芮 欧阳晨曦.肺动脉夹层病因与诊疗的研究进展[J].心血管病学进展,2021,(1):5-7.[doi:10.16806/j.cnki.issn.1004-3934.20.01.000]
 GU Yuanrui,OUYANG Chenxi.Etiology,Diagnosis and Treatment of Pulmonary Artery Dissection[J].Advances in Cardiovascular Diseases,2021,(1):5-7.[doi:10.16806/j.cnki.issn.1004-3934.20.01.000]
点击复制

肺动脉夹层病因与诊疗的研究进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年1期
页码:
5-7
栏目:
综述
出版日期:
2021-01-25

文章信息/Info

Title:
Etiology,Diagnosis and Treatment of Pulmonary Artery Dissection
文章编号:
202003125
作者:
顾沅芮 欧阳晨曦
中国医学科学院阜外医院血管外科100037)
Author(s):
GU YuanruiOUYANG Chenxi
(Department of Cardiovascular Surgery,National Center for Cardiovascular Disease and Fuwai Hospital,Beijing 100037,China)
关键词:
肺动脉肺动脉夹层夹层
Keywords:
Pulmonary arteryPulmonary artery dissectionDissecting
DOI:
10.16806/j.cnki.issn.1004-3934.20.01.000
摘要:
肺动脉夹层曾被认为是一种罕见且高致死率的疾病,随着诊疗技术的不断发展,据相关文献报道肺动脉夹层的总生存率已从2000年的10.9%上升到59.3%,若能在肺动脉夹层致死前诊断出该病,患者的生存率将为70.5%。早期的诊断以及积极有效的治疗将极大地提高患者的总生存率,高危肺动脉瘤患者可通过预防性外科手术预防肺动脉夹层的发生
Abstract:
Pulmonary artery dissectionPAD) has been considered as a rare and high mortality rate disease. With the continuous development of diagnosis and treatment technology,the total survival rate of PAD has increased from 10.9% in 2000 to 59.3% according to the literatures. If the disease could be diagnosed before the death, the survival rate of the patients will reach 70.5%. Early diagnosis and effective treatment will greatly improve the overall survival rate of patients, and patients with high-risk pulmonary artery aneurysm can prevent PDA by preventive surgery. This article will introduce high-risk pulmonary artery aneurysm,three common diagnostic methods(transthoracic echocardiography,chest CTA and chest MRI) and three treatment methods(conservative treatment,surgical treatment and interventional therapy) for PAD

参考文献/References:

[1] Adodo DK,Kloeckner M,Bergoend E,et al. Pulmonary artery dissection:a case treated by homograft replacement[J]. Ann Thorac Surg,2017,103(1):e47-e49.
[2] Zhang C,Huang X,Li S,et al. Pulmonary artery dissection:a fatal complication of pulmonary hypertension[J]. Case Rep Med,2016,2016:4739803.
[3] Li RJ,Yang Y,Zhang XS,et al. Transthoracic echocardiographic findings of pulmonary artery dissection[J]. J Ultrasound Med,2010,29(9):1365-1368.
[4] Hako R,Fedacko J,Toth S,et al. Rare presentation of left lower lobe pulmonary artery dissection[J]. Case Rep Med,2017,2017:2760535.
[5] Khaja MS,Hallett RL. Pulmonary artery dissection complicating aortic dissection in a patient with bicuspid aortic valve and aortic coarctation[J]. Radiol Case Rep,2017,12(3):472-474.
[6] Fernando DMG,Thilakarathne SMNK,Wickramasinghe CU. Pulmonary artery dissection—A review of 150 cases[J]. Heart Lung,2019,48(5):428-435.
[7] Westaby S,Evans BJ,Ormerod O. Pulmonary-artery dissection in patients with Eisenmenger’s syndrome[J]. N Engl J Med,2007,356(20):2110-2112.
[8] Duijnhouwer AL,Navarese EP,van Dijk APJ,et al. Aneurysm of the pulmonary artery,a systematic review and critical analysis of current literature[J]. Congenit Heart Dis,2016,11(2):102-109.
[9] Reisenauer JS,Said SM,Schaff HV,et al. Outcome of surgical repair of pulmonary artery aneurysms:a single-center experience with 38 patients[J]. Ann Thorac Surg,2017,104(5):1605-1610.
[10] Fakler U,Mebus S,Kaemmerer H,et al. A ticking time bomb—high pressure pulmonary artery aneurysm[J]. Am J Med,2008,121(9):777-780.
[11] Ercan S,Dogan A,Altunbas G,et al. Giant pulmonary artery aneurysm:12 years of follow-up. Case report and review of the literature[J]. Thorac Cardiovasc Surg,2014,62(5):450-452.
[12] Fang CC,Tsai CC. Idiopathic pulmonary artery aneurysm[J]. J Formos Med Assoc,1996,95(11):873-876.
[13] Degano B,Prevot G,Têtu L,et al. Fatal dissection of the pulmonary artery in pulmonary arterial hypertension[J]. Eur Respir Rev,2009,18(113):181-185.
[14] Sehdev A,Dhoble A. Pulmonary artery dissection(PAD):a very unusual cause of chest pain[J]. J Hosp Med,2010,5(5):313-316.
[15] Perrotta S,Lentini S. Pulmonary artery dissection[J]. J Card Surg,2015,30(5):442-447.
[16] Matsumoto A,Kawasaki T,Takeoka M,et al. Silent pulmonary artery dissection in a centenarian[J]. J Cardiol Cases,2011,5(1):e36-e38.
[17] Meng J,Qian Y,Xiao X. Eisenmenger syndrome complicated by pulmonary artery dissection[J]. Thorac Cardiovasc Surg,2012,60 Suppl 2:e1-2.
[18] Tiwari N,Ganguly G,Garg A,et al. Pulmonary artery aneurysm with dissection and hemopericardium[J]. Asian Cardiovasc Thorac Ann,2013,21(1):71-73.
[19] Ay Y,Ay NK,Aydin C,et al. A rare complication of pre-Eisenmenger patent ductus arteriosus:pulmonary artery dissection[J]. Int J Surg Case Rep,2013,4(5):483-485.
[20] Bhatia V,Sharma S,Panda P,et al. Role of multi-detector computed tomography(MDCT) in diagnosis of pulmonary artery dissection:a rare but fatal entity[J]. Ann Acad Med Singap,2014,43(1):64-65.
[21] Bauer F,Lemercier M,Dacher JN. Pulmonary artery dissection as a rare complication of pulmonary hypertension[J]. Arch Cardiovasc Dis,2012,105(12):676-677.
[22] Tse R,Garland J,Triggs Y,et al. A rare case of hemopericardium from a ruptured dissecting pulmonary artery aneurysm:postmortem computed tomography scan and autopsy findings[J]. Am J Forensic Med Pathol,2018,39(1):50-53.
[23] Liang HW, Zhao DL,Liu XD,et al. ECG-gated pulmonary artery CTA for evaluation of right ventricular function in patients with acute pulmonary embolism[J]. Echocardiography,2017,34(2):257-263.
[24] Malm CJ,Ternstrom L,J?rgensen K,et al. Pulmonary artery dissection in a patient with undiagnosed pulmonary hypertension—a case report and review of literature[J]. Heart Lung,2015,44(5):453-457.
[25] Zhu Y,Tang L,Shi H. Endovascular repair for pulmonary artery and aortic dissection associated with patent ductus arteriosus[J]. JACC Cardiovasc Interv,2016,9(4):387-388.
[26] Senbaklavaci O,Kaneko Y,Bartunek A,et al. Rupture and dissection in pulmonary artery aneurysms:incidence,cause,and treatment—review and case report[J]. J Thorac Cardiovasc Surg,2001,121(5):1006-1008.
[27] Yaman M,Arslan U,Ates AH,et al. Pulmonary arterial dissection in a post-partum patient with patent ductus arteriosus:case report and review of the literature[J]. World J Cardiol,2015,7(2):101-103.
[28] Yamamoto ME,Jones JW,McManus BM. Fatal dissection of the pulmonary trunk. An obscure consequence of chronic pulmonary hypertension[J]. Am J Cardiovasc Pathol,1988,1(3):353-359.
[29] T?nder N,K?ber L,Hassager C. Pulmonary artery dissection in a patient with Eisenmenger syndrome treated with heart and lung transplantation[J]. Eur J Echocardiogr,2004,5(3):228-230.
[30] Zablah JE,Morgan GJ. Pulmonary artery stenting[J]. Interv Cardiol Clin,2019,8(1):33-46.

相似文献/References:

[1]李俊鹏 刘建 刘娜 杨欣荣 高婷 赵正凯.“三低”技术在CT体部血管一站式成像的应用价值[J].心血管病学进展,2022,(7):662.[doi:10.16806/j.cnki.issn.1004-3934.2022.07.000]
 LI Junpeng,LIU Jian,LIU Na,et al.Application of Three Lows Technology in One-Stop Imaging of CT Body Vessels[J].Advances in Cardiovascular Diseases,2022,(1):662.[doi:10.16806/j.cnki.issn.1004-3934.2022.07.000]

更新日期/Last Update: 2021-03-17