Department of Radiology, Changi General Hospital, Singapore.
Br J Radiol. 2012 Apr;85(1012):e83-6. doi: 10.1259/bjr/97258435.
Surgery is the standard treatment for the extremely rare pathology of isolated anomalous systemic arterial supply to normal lung (ISSNL). We describe our experience with this anomaly in a 29-year-old male presenting with recurrent haemoptysis that was successfully treated with a combination of metallic coils and cyanoacrylate glue. In addition to contributing to the extremely limited data on endovascular therapeutic options in ISSNL, we also intend to raise the awareness among endovascular therapists of the need to be cautious ofand preserve the radiculomedullary/pial branches arising from an anomalous artery before embolising it.
手术是治疗极为罕见的孤立性体循环动脉异常供应正常肺(ISSNL)这一病理的标准治疗方法。我们描述了一位 29 岁男性的这种异常情况,他反复出现咯血,通过金属线圈和氰基丙烯酸酯胶的联合治疗成功治愈。除了为 ISSNL 血管内治疗选择的极为有限的数据做出贡献外,我们还希望提高血管内治疗师的意识,即在栓塞异常动脉之前,要注意并保护其发出的脊神经根/脑膜分支。