Nakagawa K, Nakahara K, Ohno K, Hashimoto J, Kido T, Kawashima Y
First Department of Surgery, Osaka University Medical School, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Aug;38(8):1379-83.
The patient was a 5-year-old girl and had a history of recurrent pneumonia. Angiogram demonstrated that the aberrant arteries arising from descending aorta communicated with left pulmonary A10 where the multi-lobulated cystic lesion was seen by chest X-P. The right heart catheterization revealed the step-up of oxygen saturation in distal part of left pulmonary artery A10. Diagnosis was the intralobar pulmonary sequestration with the aberrant arteries communicating with pulmonary artery. The connection between aberrant arteries and pulmonary artery in this case might be caused by the chronic inflammation in the sequestrated lung. We found 4 case reports in which the communication between aberrant arteries and pulmonary artery was evident.
该患者为一名5岁女童,有反复肺炎病史。血管造影显示,降主动脉发出的异常动脉与左肺A10相通,胸部X线显示此处有分叶状囊性病变。右心导管检查显示左肺动脉A10远端氧饱和度升高。诊断为叶内型肺隔离症,异常动脉与肺动脉相通。本例异常动脉与肺动脉之间的连接可能是由隔离肺的慢性炎症引起的。我们发现4例报告中异常动脉与肺动脉之间的连通很明显。