Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/43717
Título: Pulmonary Artery Aneurysmal Dilatation in Adult Patients With Congenital Heart Disease
Autores/as: Martínez Quintana, Efrén 
Rodríguez-González, Fayna
Nieto-Lago, Vicente
Clasificación UNESCO: 320501 Cardiología
320508 Enfermedades pulmonares
Palabras clave: Pulmonary artery
Aneurysm
Congenital heart disease
Echocardiography
Angiography
Fecha de publicación: 2011
Editor/a: 2150-1351
Publicación seriada: World Journal for Pediatric and Congenital Hearth Surgery 
Resumen: Background: Aneurysmal dilatation of the main pulmonary artery and its peripheral branches are rare lesions that account for less than 1% of all thoracic aneurysms and have a number of possible pathogenetic causes such as congenital heart disease (CHD), pulmonary artery hypertension, vasculitis, mycotic aneurysm, neoplasm, iatrogenic causes, trauma-related events, or connective tissue abnormalities. Methods: We conducted a retrospective review of the demographic data and the results of clinical examinations, laboratory tests, echocardiography, and angiography of patients managed at the Adult Congenital Heart Disease Unit of the Complejo Hospitalario Universitario Insular—Materno Infantil, between January 2004 and May 2010. Results: A total of 352 adult patients with CHD were studied. Of these, 8 (2.3%) patients had pulmonary artery aneurysmal dilatation (PAAD): 4 with low pressure of the pulmonary artery and 4 with pulmonary hypertension. Only 1 patient showed PAAD-related symptoms. Patients with CHD having PAAD had significantly higher prevalence of pulmonary artery hypertension and higher levels of C-reactive protein (CRP) than those without PAAD (incidence: 4 patients [50%] vs 18 patients [5.2%], P < .000; CRP in mg/dL: 0.52 [0.4; 1.2] vs 0.2 [0.0; 1.6], P = .016). No significant differences were found in cholesterol levels (total cholesterol, low-density lipoprotein [LDL], high-density lipoprotein [HDL], or triglycerides) between CHD patients with or without PAAD. Conclusion: In patients with CHD, PAAD is a rare finding. The PAAD size, etiology, symptoms, and association with pulmonary hypertension should guide decisions on whether conservative or surgical treatment should be applied.
URI: http://hdl.handle.net/10553/43717
ISSN: 2150-1351
DOI: 10.1177/2150135111405075
Fuente: World Journal for Pediatric and Congenital Heart Surgery [ISSN 2150-1351], v. 2, p. 375-379
Colección:Artículos
Vista completa

Citas SCOPUSTM   

5
actualizado el 24-mar-2024

Visitas

21
actualizado el 24-ene-2024

Google ScholarTM

Verifica

Altmetric


Comparte



Exporta metadatos



Los elementos en ULPGC accedaCRIS están protegidos por derechos de autor con todos los derechos reservados, a menos que se indique lo contrario.