Pulmonary Stenosis Caused by Ductus Arteriosus Aneurysm: A Case Report

A 76-year-old woman with a 2-week history of dyspnea on exertion was admitted to our hospital. A computed tomography scan showed a 70-mm diameter aortic arch aneurysm containing a large thrombus that was compressing the pulmonary artery. Echocardiography showed severe pulmonary stenosis and no shunt...

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Detalles Bibliográficos
Autores principales: Tashima, Yasushi, Kimura, Naoyuki, Tamai, Koichi, Sato, Kenichiro, Yuri, Koichi, Matsumoto, Harunobu, Yamaguchi, Atsushi, Adachi, Hideo, Kobinata, Toshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684151/
https://www.ncbi.nlm.nih.gov/pubmed/29147152
http://dx.doi.org/10.3400/avd.cr.16-00136
Descripción
Sumario:A 76-year-old woman with a 2-week history of dyspnea on exertion was admitted to our hospital. A computed tomography scan showed a 70-mm diameter aortic arch aneurysm containing a large thrombus that was compressing the pulmonary artery. Echocardiography showed severe pulmonary stenosis and no shunt flow. Operative findings revealed an aneurysmal thrombus protruding into the lumen of the pulmonary artery through a foramen. A ductus arteriosus aneurysm was diagnosed. After the thrombus removal, arch replacement and ductus closure with a prosthetic patch were performed. Histological examination showed that the thrombus had no vascular components. The patient’s symptoms were relieved, and she was discharged.

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