Lioulias A, Misthos P, Kokotsakis J, Drosos O, Karagiannidis N, Pavlopoulos D, Mitselou M
Thoracic Surgery Department, Sismanogleio General Hospital, Athens, Greece.
Cardiovasc J Afr. 2012 Jun 12;23(5):e1-2. doi: 10.5830/CVJA-2010-096.
Severe haemoptysis due to infective subclavian arteritis has, to our knowledge, never been documented. We report a case of subclavian arterial vasculitis that eroded into the left lung apex, causing a large intraparenchymal mycotic pseudoaneurysm. The patient presented with high fever and blood expectoration. An emergent left lateral thoracotomy was performed. The inflamed segment of the subclavian artery was resected and continuity was restored with a reversed saphenous vein graft. The postoperative course was uneventful and the patient was discharged on the 10th postoperative day.
据我们所知，感染性锁骨下动脉炎所致的严重咯血从未有过记录。我们报告一例锁骨下动脉血管炎病例，该血管炎侵蚀至左肺尖，导致一个巨大的肺实质内霉菌性假性动脉瘤。患者表现为高热和咯血。急诊行左侧开胸手术。切除锁骨下动脉的炎症段，并用大隐静脉倒置移植恢复连续性。术后病程顺利，患者于术后第10天出院。
