Matsumoto Takashi, Uchida Takayuki, Ono Tomoyuki, Hirayama Kazuto, Fukumura Fumio, Ando Hiromi, Tanaka Jiro
Department of Cardiovascular Surgery, Iizuka Hospital, Fukuoka, Japan.
Ann Vasc Dis. 2017 Jun 25;10(2):152-154. doi: 10.3400/avd.cr.16-00091.
A 72-year-old woman with a history of malignant lymphoma was referred to our hospital for the treatment of a bronchial artery aneurysm. Computed tomography (CT) scan showed a round, 30 mm-diameter fusiform aneurysm with two tortuous inflow arteries. We deployed thoracic stent grafting to cover the orifice of the two inflow arteries without transcatheter bronchial arterial embolization. Postoperative CT scan revealed complete thrombosis of the aneurysm. Although further follow-up is mandatory, this may be considered a viable treatment option in cases wherein the bronchial artery aneurysm is anatomically difficult to treat.
一名有恶性淋巴瘤病史的72岁女性因支气管动脉瘤前来我院治疗。计算机断层扫描(CT)显示一个直径30毫米的圆形梭形动脉瘤,有两条迂曲的流入动脉。我们采用胸主动脉覆膜支架植入术覆盖两条流入动脉的开口,未进行经导管支气管动脉栓塞术。术后CT扫描显示动脉瘤完全血栓形成。尽管必须进行进一步随访,但对于解剖结构上难以治疗的支气管动脉瘤病例,这可能被视为一种可行的治疗选择。