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在一例老年无症状性正常基底段异常体动脉供血病例中成功进行血管内弹簧圈栓塞术。

Successful endovascular coil embolization in an elder and asymptomatic case of anomalous systemic arterial supply to the normal basal segment.

作者信息

Machida Yuichiro, Motono Nozomu, Matsui Takuma, Usuda Katsuo, Uramoto Hidetaka

机构信息

Department of Thoracic Surgery, Kanazawa Medical University, Japan.

Department of Thoracic Surgery, Kanazawa Medical University, Japan.

出版信息

Int J Surg Case Rep. 2017;34:103-105. doi: 10.1016/j.ijscr.2017.03.030. Epub 2017 Mar 22.

Abstract

INTRODUCTION

An anomalous systemic arterial supply to the normal basal segment without sequestration is a rare congenital vascular malformation. The discovery age is relatively young, and the most common clinical symptom is hemoptysis due to pulmonary hypertension or heart failure. We herein describe a case of endovascular embolization of in an elderly and asymptomatic patient with an anomalous systemic arterial supply to the normal basal segment.

PRESENTAITION OF CASE

An 80-year-old male was referred to our hospital due to an abnormal chest shadow. The patient was diagnosed with an anomalous systemic arterial supply to normal basal segment. We performed coil embolization via the catheterization.

DISCUSSION

The application of coil embolization via catheterization results in a low risk of infection and small burden on the body compared with surgery. There are few report of the coil embolization for an anomalous systemic arterial supply to the normal basal segment. Hence, it is necessary to accumulate additional cases.

CONCLUSION

The outcome of thie case indicates that coil embolization is a very useful treatment method for elderly patients with an anomalous systemic arterial supply to the normal basal segment.

摘要

引言

正常基底段存在无隔离的异常体循环动脉供血是一种罕见的先天性血管畸形。发现年龄相对较小,最常见的临床症状是因肺动脉高压或心力衰竭导致的咯血。我们在此描述一例老年无症状患者,其正常基底段存在异常体循环动脉供血,接受了血管内栓塞治疗。

病例介绍

一名80岁男性因胸部阴影异常被转诊至我院。该患者被诊断为正常基底段存在异常体循环动脉供血。我们通过导管插入术进行了弹簧圈栓塞。

讨论

与手术相比,通过导管插入术应用弹簧圈栓塞导致感染风险低且对身体负担小。关于正常基底段异常体循环动脉供血的弹簧圈栓塞报道很少。因此,有必要积累更多病例。

结论

该病例的结果表明,弹簧圈栓塞对于正常基底段存在异常体循环动脉供血的老年患者是一种非常有用的治疗方法。

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