Pate Gordon E, Carere Ronald G
Division of Cardiology, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Catheter Cardiovasc Interv. 2005 Jun;65(2):310-2. doi: 10.1002/ccd.20371.
A 28-year-old male was referred for cardiac catheterization because of recurrent severe hemoptysis necessitating resuscitation and subsequently preventing weaning from ventilation. He had a history of pulmonary atresia, ventricular septal defect, overriding aorta with right-sided aortic arch diagnosed at birth. Eisenmenger's syndrome ensued and he was not felt to be suitable for corrective cardiac surgery. He had multiple major aortopulmonary collateral vessels to both lungs with a large aneurysm in an artery to the right lower lobe, which was suspected to be the source of his bleeding. Occlusion of this aneurysm was achieved percutaneously using an Amplatzer septal occluder device. He had no further bleeding and was successfully weaned from ventilation. Six months later, he has recovered to his functional baseline and has not had any further episodes of hemoptysis.
一名28岁男性因反复严重咯血需进行复苏，随后无法撤机而被转诊进行心导管检查。他有肺闭锁、室间隔缺损、主动脉骑跨伴右侧主动脉弓的病史，出生时即被诊断。随后出现艾森曼格综合征，被认为不适合进行心脏矫正手术。他有多发的主要体肺侧支血管供应双肺，右下叶动脉有一个大动脉瘤，怀疑是出血来源。使用Amplatzer房间隔封堵器经皮封堵了这个动脉瘤。他没有再出血，成功撤机。六个月后，他已恢复到功能基线，没有再发生咯血。
