Mautone Marcela, Naidoo Parm
Monash Medical Centre, Monash Health, Melbourne, Australia.
Department of Radiology, Monash Health, Melbourne, Australia ; Faculty of Medicine, Monash University, Melbourne, Australia.
J Radiol Case Rep. 2014 Mar 1;8(3):9-15. doi: 10.3941/jrcr.v8i3.2047. eCollection 2014 Mar.
Systemic arterialization of the lung without pulmonary sequestration is the rarest form of anomalous systemic arterial supply to the lung. This condition is characterised by an aberrant arterial branch arising from the aorta which supplies an area of lung parenchyma with normal bronchopulmonary anatomy. It is often diagnosed following investigation of an incidental cardiac murmur or based on abnormal imaging, as most patients are asymptomatic or minimally symptomatic. Thoracic computed tomography and computed tomography angiography are generally the most useful diagnostic tests. We present a case of a 22-year old female who was diagnosed with systemic arterial supply to a portion of otherwise normal right lower lobe following investigation of low volume haemoptysis.
无肺隔离症的肺系统性动脉化是肺异常系统性动脉供血最罕见的形式。这种情况的特征是主动脉发出一支异常动脉分支,为具有正常支气管肺解剖结构的肺实质区域供血。它通常在对偶然发现的心脏杂音进行检查后或基于异常影像学检查而被诊断出来,因为大多数患者无症状或症状轻微。胸部计算机断层扫描和计算机断层扫描血管造影通常是最有用的诊断检查。我们报告一例22岁女性病例,该患者在对少量咯血进行检查后,被诊断为右肺下叶一部分存在系统性动脉供血,而该部分肺叶其他方面正常。