右上叶切除术后经四维血流磁共振成像证实的体动脉至肺静脉瘘

Systemic Artery to Pulmonary Vein Fistula After Right Upper Lobectomy Demonstrated by 4-Dimensional Flow Magnetic Resonance Imaging.

作者信息

Legras Antoine, Azarine Arshid, Poitier Bastien, Messas Emmanuel, Le Pimpec-Barthes Françoise

机构信息

Department of Thoracic Surgery, Paris Descartes University, Georges Pompidou European Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; Sorbonne Paris Cité University, Paris Descartes University, Paris, France.

Department of Cardiovascular Radiology, Paris Descartes University, Georges Pompidou European Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

出版信息

Ann Thorac Surg. 2017 Aug;104(2):e169-e171. doi: 10.1016/j.athoracsur.2017.02.061.

DOI:10.1016/j.athoracsur.2017.02.061

PMID:28734444

Abstract

Postoperative systemic artery to pulmonary vein fistula is very rare. In this report, we describe an exceptional condition of both intrapulmonary arteriovenous fistula and systemic artery to pulmonary vein fistula, involving all right hemithoracic systemic arteries, inducing left-to-left shunt. This condition was responsible for heart failure, 24 years after a right upper lobectomy for inflammatory tumor. Investigations included computed tomographic angiography, arteriography, and four-dimensional flow magnetic resonance imaging. Differential diagnosis and management are discussed.

摘要

术后体动脉至肺静脉瘘非常罕见。在本报告中，我们描述了一种罕见情况，即同时存在肺内动静脉瘘和体动脉至肺静脉瘘，累及右半胸所有体动脉，导致左向左分流。这种情况在因炎性肿瘤行右上叶切除术后24年引发了心力衰竭。检查包括计算机断层血管造影、动脉造影和四维血流磁共振成像。本文讨论了鉴别诊断和处理方法。