Oka Souichi, Hanagiri Takeshi, Baba Tetsurou, Uramoto Hidetaka, Takenoyama Mitsuhiro, Yasumoto Kosei
Department of Surgery II, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Kyobu Geka. 2010 Aug;63(9):836-9.
We report a case of arteriovenous fistula of the bronchial artery. A 42-year-old woman was referred to our hospital because of an abnormal shadow noted on a chest X-ray. A chest computed tomography (CT) scan showed abnormal blood vessels in the right upper lobe. Bronchoscopic examination showed a pulsatile tortuos lesion at the orifice of the right B3 bronchus. Bronchial angiography revealed a convoluted and dilated right bronchial artery and hypervascularization in the right upper lobe. On the basis of a clinical diagnosis of bronchial artery-pulmonary vein fistula, a right upper lobectomy and ligation of the right bronchial artery were successfully performed. Bronchial arteriovenous fistula is rare, and it is risk factor for severe hemoptysis. When the surrounding lung reveals a congestive and organized changes due to the arteriovenous fistula, resection of the affected lung is considered necessary.
我们报告一例支气管动脉动静脉瘘病例。一名42岁女性因胸部X线检查发现异常阴影而转诊至我院。胸部计算机断层扫描（CT）显示右上叶有异常血管。支气管镜检查显示右B3支气管开口处有搏动性迂曲病变。支气管血管造影显示右支气管动脉迂曲扩张，右上叶血管增多。基于支气管动脉-肺静脉瘘的临床诊断，成功实施了右上叶切除术并结扎了右支气管动脉。支气管动静脉瘘罕见，是严重咯血的危险因素。当周围肺组织因动静脉瘘出现充血和机化改变时，考虑有必要切除患肺。
