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异常体动脉至正常肺:成人咯血的罕见原因。

Anomalous systemic artery to a normal lung: a rare cause of hemoptysis in adults.

作者信息

Bhalla Ashu Seith, Gupta Pankaj, Mukund Amar, Kumar Arvind, Gupta Mudit

机构信息

Department of Radiology, All India Institute of Medical Sciences, New Delhi - 110029, India.

出版信息

Oman Med J. 2012 Jul;27(4):319-22. doi: 10.5001/omj.2012.79.

DOI:10.5001/omj.2012.79
PMID:23071887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3464741/
Abstract

Bronchopulmonary sequestration represents a spectrum of abnormalities. One of these abnormalities is an aberrant systemic arterial supply to a normal lung with no bronchial sequestration. These lesions were originally classified by Pryce as type 1. Most of these patients are asymptomatic but with time, many patients develop localized pulmonary hypertension, hemoptysis, and eventually high output cardiac failure. Multidetector computed tomography (MDCT) plays an important role in the diagnosis and planning of definitive treatment by identifying the origin and course of the aberrant artery. Definitive treatment can be surgical (lobectomy or segmentectomy) or endovascular.

摘要

支气管肺隔离症表现为一系列异常情况。其中一种异常是存在一条异常的体循环动脉供应正常肺组织,且无支气管隔离。这些病变最初由普赖斯分类为1型。这些患者大多数无症状,但随着时间推移,许多患者会出现局部肺动脉高压、咯血,最终发展为高输出量心力衰竭。多排螺旋计算机断层扫描(MDCT)通过识别异常动脉的起源和走行,在明确诊断和确定治疗方案中发挥重要作用。确定性治疗可以是手术治疗(肺叶切除术或肺段切除术)或血管内治疗。

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