Left main bronchus compression due to main pulmonary artery dilatation in pulmonary hypertension: two case reports
Left main bronchus compression due to main pulmonary artery dilatation in pulmonary hypertension: two case reports
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DOI：
10.1086/683687
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发表时间：
2015-12-01
影响因子：
2.6
通讯作者：
Gibbs, J. Simon R.
中科院分区：
文献类型：
--
作者：
Jaijee, Shareen K.;Ariff, Ben;Gibbs, J. Simon R.
与肺动脉高压相关的肺动脉扩张可导致局部结构的显著压迫。左冠状动脉主干和左喉返神经卡压已被描述。肺动脉扩张引起的气管支气管压迫在成人中是罕见的，并且在文献中没有关于其在特发性肺动脉高压中发生的报道。有先天性心脏病的婴儿的压迫已经有很好的描述。我们报告2例气管支气管压迫：第一，一个成人患者患有特发性肺动脉高压，表现为症状性左主支气管压迫，第二，成人患者患有艾森曼格室间隔缺损和右侧主动脉弓，进行性中间和右中叶支气管压迫与肺动脉扩大。
Pulmonary arterial dilatation associated with pulmonary hypertension may result in significant compression of local structures. Left main coronary artery and left recurrent laryngeal nerve compression have been described. Tracheobronchial compression from pulmonary arterial dilatation is rare in adults, and there are no reports in the literature of its occurrence in idiopathic pulmonary arterial hypertension. Compression in infants with congenital heart disease has been well described. We report 2 cases of tracheobronchial compression: first, an adult patient with idiopathic pulmonary arterial hypertension who presents with symptomatic left main bronchus compression, and second, an adult patient with Eisenmenger ventricular septal defect and right-sided aortic arch, with progressive intermedius and right middle lobe bronchi compression in association with enlarged pulmonary arteries.