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首页> 外文期刊>Circulation journal >Reconstruction of bilateral branch pulmonary artery stenosis caused by Takayasu's aortitis.
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Reconstruction of bilateral branch pulmonary artery stenosis caused by Takayasu's aortitis.

机译：高津主动脉炎引起的双侧分支肺动脉狭窄的重建。

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摘要

A 63 year-old female presented with dyspnea on exertion. Her chest X-ray showed cardiomegaly, and right ventricular overload and tricuspid regurgitation were detected. Her pulmonary ventilation and blood flow scintigraphy findings were suspicious of pulmonary vascular disease; the diagnosis was pulmonary hypertension and bilateral branch pulmonary artery stenosis. After the inflammation settled, the stenotic bilateral branch pulmonary artery was reconstructed with a prosthetic vessel and the pulmonary pressure normalized immediately. A resected specimen revealed that the stenotic changes were from Takayasu's disease. The patient's postoperative course was uneventful, and pulmonary ventilation and blood scintigraphy returned to an almost normal range. At follow-up 5 years and 6 months after the operation, there was no evidence of pulmonary artery disease (eg, stenosis and/or ischemia) or of any change in the central vessels of the retina, the so-called Takayasu's retinopathy.
机译：一名63岁的女性因劳累而出现呼吸困难。她的胸部X光片显示心脏肥大，并检测到右心室超负荷和三尖瓣关闭不全。她的肺通气和血流显像检查结果可疑为肺血管疾病。诊断为肺动脉高压和双侧分支肺动脉狭窄。炎症缓解后，用人工血管重建狭窄的双侧分支肺动脉，并立即使肺压恢复正常。切除的标本显示，狭窄的变化是由高津氏病引起的。患者的术后过程平稳，肺通气和血液闪烁显像恢复到几乎正常范围。术后5年和6个月的随访中，没有证据表明存在肺动脉疾病（例如狭窄和/或局部缺血）或视网膜中央血管的任何变化，即所谓的Takayasu视网膜病变。

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