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ID 61529
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Akagi, Satoshi Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science ORCID Kaken ID
Ejiri, Kentaro Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science ORCID publons researchmap
Kasahara, Shingo Department of Cardiovascular Surgery, Okayama University Hospital Kaken ID publons
Nakamura, Kazufumi Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science Kaken ID publons researchmap
Ito, Hiroshi Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science Kaken ID
Abstract
Pulmonary artery aneurysms (PAA) can be complicated with pulmonary arterial hypertension (PAH), causing sudden death due to PA rupture and dissection. Because treatment with PAH-targeted drugs does not always prevent PAA progression, prophylactic surgical repair of the PAA seems a promising alternative. However, although it avoids rupture and dissection of the PAs, additional benefits have not been forthcoming. We therefore present two patients with co-existing PAH and a PAA who underwent surgical repair of the aneurysm. Following the surgery, their lung function and pulmonary hypertension improved. Optimal treatment of PAA remains uncertain, however, with no clear guidelines regarding the best therapeutic approach. This case series provides physicians with reasons to repair PAA surgically in patients with PAH.
Keywords
vital capacity
pulmonary artery pressure
lung perfusion and oxygenation
Published Date
2019-02-15
Publication Title
Pulmonary Circulation
Volume
volume9
Issue
issue1
Publisher
SAGE Publications
Start Page
2045894019831217
ISSN
2045-8932
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
Copyright Holders
© The Author(s). 2019
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publisher
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DOI
Web of Science KeyUT
Related Url
isVesionOf https://doi.org/10.1177/2045894019831217
License
http://www.creativecommons.org/licenses/by-nc/4.0/