, William Ford Anid
نویسنده
چکیده
P ULMONARY ARTERY aneurysms are relatively rare lesions. One hundred and fifty-two cases have been found in world literature. The purpose of this communication is to review briefly available information on the subject and to report a case in which successful surgical treatment has been achieved. Boyd and MeGavack,' in 1939, reported 111 cases of pulmonary aneurysm proved at necropsy. In 1947, Deterling and Clagett2 added 36 cases in their excellent paper on this subject. Five more authenticated cases reported since 1947 may be added to the list. In 1946, Thompson and Gerst13 recorded a case which was not included in the bibliography of Deterling and Clagett. Since 1947, Dotter and Steinberg4 have reported two cases and Lillian5 has had one case. Available evidence indicates that one aneurysm of the pulmonary artery may be found in approximately 14,000 necropsies. Jules,6 Breslin7 and others have described the symptoms of pulmonary aneurysm which include dyspnea, cough and hemoptysis. These manifestations of the disease may occur early. Chest pain, cyanosis, edema, ascites and clubbing of the fingers are late manifestations. Tachycardia is sometimes evident with associated polycythemia. Roentgenograms of the chest often reveal a well delineated hilar shadow and hypertrophy of the right heart may be found. Pezzi's sign of hilar dance caused by transmission of an expansile pulsation may be observed. The lesion can usually be delineated by angiocardiography.
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