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[一例左冠状动脉至支气管动脉吻合的大动脉炎综合征病例]

[A case of aortitis syndrome with anastomoses from left coronary artery to bronchial artery].

作者信息

Kaguraoka H, Itaoka T, Itou H, Ono K, Yokonyama M, Nitta S

出版信息

Kokyu To Junkan. 1989 May;37(5):569-72.

PMID:2749018
Abstract

We reported a case of aortitis syndrome with about 10-year course from onset. The patient was a 44-year old female suffering from a cardiac failure. The angiogram revealed presence of aortic regurgitation, The angiogram revealed presence of aortic regurgitation, pulmonary vascular lesions, anastomosis from left coronary artery to bronchial artery and hypervascularity of bronchial artery. We considered the anastomosis from left coronary artery to bronchial artery as a collateral blood flow for the ischemic lesions of the lung. We abandoned aortic valve replacement because of the severe pulmonary vascular lesions and of the pulmonary dysfunction.

摘要

我们报告了一例发病约10年的大动脉炎综合征病例。患者为一名44岁女性,患有心力衰竭。血管造影显示存在主动脉瓣反流、肺血管病变、左冠状动脉至支气管动脉的吻合以及支气管动脉血管增多。我们认为左冠状动脉至支气管动脉的吻合是肺部缺血性病变的侧支血流。由于严重的肺血管病变和肺功能障碍,我们放弃了主动脉瓣置换术。

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