Izzillo R, El Hajjam M, Qanadli S, Guichaux F, Mignon F, Caubarrere I, Chagnon S, Lacombe P
Service de Radiologie, Université Paris V, Hôpital Ambroise Paré, 9, avenue Charles de Gaulle 92104 Boulogne-Billancourt, France.
J Radiol. 2000 Sep;81(9):996-9.
A 34 year old patient presented with recurrent hemoptysis. A chest radiograph was normal. Helical CT angiogram of the chest with tridimensional reconstructions demonstrated an intralobar pulmonary vascular sequestration Pryce I-type of the right lower lobe. The angiography confirmed the diagnosis showing a large feeding artery arising from the coeliac trunk. An embolization of the feeding artery using metallic coils was performed. Transient pulmonary infarction occurred immediately after treatment. At two years follow-up, the patient remains asymptomatic. Percutaneous embolization of this rare pulmonary vascular malformation is an alternative to surgical treatment.
一名34岁患者反复咯血。胸部X光片正常。胸部螺旋CT血管造影三维重建显示右下叶叶内型肺隔离症(普赖斯I型)。血管造影证实诊断,显示一条发自腹腔干的粗大供血动脉。使用金属线圈对供血动脉进行了栓塞。治疗后立即发生短暂性肺梗死。随访两年时,患者无症状。经皮栓塞这种罕见的肺血管畸形是手术治疗的一种替代方法。