Bautista-Hernandez V, Gutierrez F, Roldan S, Capel A, Arcas R
Regional Service of Cardiovascular Surgery, University Hospital Virgen de la Arrixaca, Murcia, Spain.
Minerva Chir. 2007 Oct;62(5):425-8.
Bronchiectasis presenting as massive hemoptysis and iatrogenic lesions of the thoracic aorta are life-threatening processes with very difficult management. We report a case of massive hemoptysis from bronchiectasis complicated with contained rupture of the descending thoracic aorta during bronchial artery embolization. Both lesions were confirmed by angiography and successfully treated by implantation of an endovascular stent-graft in the thoracic aorta. As far as we know, there are no previous reports of successful management of massive hemoptysis from bronchiectasis with an endovascular covered stent-graft prosthesis.
以大量咯血为表现的支气管扩张症以及胸主动脉的医源性病变是危及生命的过程,处理起来非常困难。我们报告一例支气管扩张症导致大量咯血并在支气管动脉栓塞期间并发降主动脉局限性破裂的病例。两种病变均经血管造影确诊,并通过在胸主动脉植入血管内支架型人工血管成功治疗。据我们所知,此前尚无使用血管内带覆膜支架型人工血管成功处理支气管扩张症所致大量咯血的报道。