Delclaux B, Guillou L, Marchand M, Lemarie E
Service de Pneumologie, CHU Bretonneau, Tours.
Rev Mal Respir. 1989;6(2):177-80.
Amongst the rare causes of haemoptysis rupture of the great vessels is always a possibility. An aorto-bronchial fistula is a rare complication of thoracic aneurysms of the aorta. A fistula starting from a false aneurysm is exceptionally rare. Our observation concerns a patient of 61 with previous vascular problems who was discovered to have a mediastinal tumour following dysphonia and haemoptysis. Aortography and surgical intervention revealed that this was a false aneurysm of the horizontal part of the aorta which had developed a fistula in the bronchus.
在咯血的罕见病因中,大血管破裂始终是一种可能。主动脉支气管瘘是主动脉胸段动脉瘤的一种罕见并发症。源于假性动脉瘤的瘘极为罕见。我们观察的是一名61岁有既往血管问题的患者,该患者在出现声音嘶哑和咯血后被发现患有纵隔肿瘤。主动脉造影和手术干预显示,这是主动脉水平段的一个假性动脉瘤,它在支气管处形成了一个瘘。