Menon Shaji C, Stanson Anthony W, Hagler Donald J
Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota 55905, United States of America.
Cardiol Young. 2007 Oct;17(5):569-71. doi: 10.1017/S1047951107000698. Epub 2007 Sep 17.
Unrecognized pseudoaneurysm or rupture of a pulmonary artery is a rare but potentially catastrophic complication of pulmonary arterial catheterization. Herein, we describe a teenage patient with a pulmonary arterial pseudoaneurysm, probably iatrogenic, who presented with haemoptysis following catheterization of the right heart. The pseudoaneurysm was successfully embolized using coils inserted by catheter. Increased awareness of this lesion, its rapid recognition, and prompt therapy are the keys to a successful outcome.
未被识别的肺动脉假性动脉瘤或破裂是肺动脉导管插入术罕见但可能致命的并发症。在此,我们描述一名青少年患者,患有可能为医源性的肺动脉假性动脉瘤,在右心导管插入术后出现咯血。使用通过导管插入的线圈成功栓塞了假性动脉瘤。提高对该病变的认识、快速识别并及时治疗是取得成功结果的关键。