Tsunezuka Yoshio, Tanaka Nobuyoshi, Fujimori Hideki
Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kuratsuki-higashi 2-1, Kanazawa, 920-8530, Japan.
J Cardiothorac Surg. 2015 Oct 16;10:129. doi: 10.1186/s13019-015-0313-y.
Here we report the rare case of an intraoperative bronchial artery aneurysm (BAA) rupture. An asymptomatic 52-year-old woman was found to have bilateral, multiple dilated bronchial arteries feeding the BAA that was further connected to the pulmonary artery on computed tomography and angiography. Transcatheter arterial embolization was thought not to be succeed. During a thoracoscopic procedure, the BAA ruptured suddenly and was treated with a thoracotomy under percutaneous cardiopulmonary support (PCPS). For anatomical complex BAA like the present case, the use of an open procedure and the preparation of PCPS are strongly recommended.
在此，我们报告一例罕见的术中支气管动脉动脉瘤（BAA）破裂病例。一名52岁无症状女性在计算机断层扫描和血管造影检查中发现，双侧多条扩张的支气管动脉为BAA供血，且该动脉瘤与肺动脉相连。经导管动脉栓塞术被认为未成功。在胸腔镜手术过程中，BAA突然破裂，遂在经皮心肺支持（PCPS）下进行开胸手术治疗。对于像本病例这样解剖结构复杂的BAA，强烈建议采用开放手术并准备好PCPS。
