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多发性支气管动脉动脉瘤及多发性动脉瘤样扩张所致大量咯血:一例报告

Massive hemoptysis due to multiple bronchial artery aneurysms and multiple aneurysmal dilations: A case report.

作者信息

Hou Ziliang, Wang Jianfeng, Peng Dan, Li Congfeng, Yang Jingjing, Wang Jinxiang

机构信息

Department of Respiratory and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Xinhuananlu No.82, Tongzhou District, Beijing 101100, China.

Department of Interventional Therapy, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

出版信息

Radiol Case Rep. 2017 Dec 14;13(1):24-27. doi: 10.1016/j.radcr.2017.11.010. eCollection 2018 Feb.

DOI:10.1016/j.radcr.2017.11.010
PMID:29487634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5826471/
Abstract

Bronchial artery aneurysm (BAA) is a rare but potentially life-threatening clinical entity. Patients with multiple BAAs and multiple aneurysmal dilations are even rarer. In this case report, we will investigate a case of multiple BAAs and multiple aneurysmal dilations arising from 2 right bronchial artery branches presenting with hemoptysis. The patient was successfully treated with transcatheter arterial embolization. We should be vigilant for the possibility of BAA when encountering patients presenting with hemoptysis. Transcatheter arterial embolization is safe and effective to solve this condition.

摘要

支气管动脉动脉瘤(BAA)是一种罕见但可能危及生命的临床病症。患有多发性BAA和多发性动脉瘤样扩张的患者更为罕见。在本病例报告中,我们将研究一例由2支右支气管动脉分支引发的多发性BAA和多发性动脉瘤样扩张病例,该患者伴有咯血症状。患者通过经导管动脉栓塞术获得成功治疗。当遇到咯血患者时,我们应警惕BAA的可能性。经导管动脉栓塞术对于解决这种病症安全有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ce/5826471/7dd728192f55/radcr397-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ce/5826471/7dd728192f55/radcr397-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ce/5826471/7dd728192f55/radcr397-fig-0002.jpg

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本文引用的文献

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Embolization of a Bronchial Artery Aneurysm in a Chronic Obstructive Pulmonary Disease (COPD) Patient with Non-Massive Hemoptysis.慢性阻塞性肺疾病(COPD)合并非大量咯血患者支气管动脉动脉瘤的栓塞治疗
Pol J Radiol. 2017 Mar 31;82:174-178. doi: 10.12659/PJR.899624. eCollection 2017.
2
Endovascular treatment of ectopic bronchial artery aneurysm with brachiocephalic artery stent placement and coil embolization: A case report and literature review.经肱头动脉支架置入及弹簧圈栓塞术对异位支气管动脉瘤进行血管内治疗:一例报告及文献复习
Medicine (Baltimore). 2016 Aug;95(35):e4461. doi: 10.1097/MD.0000000000004461.
3
Intraoperative rupture of an interlobar bronchial artery aneurysm: a case report.
叶间支气管动脉动脉瘤术中破裂:一例报告
J Cardiothorac Surg. 2015 Oct 16;10:129. doi: 10.1186/s13019-015-0313-y.
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Bronchial Artery Aneurysm Presenting as Hematemesis and Mediastinal Hemorrhage.以呕血和纵隔出血为表现的支气管动脉瘤
Korean J Thorac Cardiovasc Surg. 2015 Aug;48(4):298-301. doi: 10.5090/kjtcs.2015.48.4.298. Epub 2015 Aug 5.
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Hemomediastinum due to spontaneous rupture of a mediastinal bronchial artery aneurysm - A rare cause of thoracic pain.纵隔支气管动脉瘤自发破裂导致的纵隔积血——胸痛的罕见原因。
Respir Med Case Rep. 2014 Mar 14;12:27-9. doi: 10.1016/j.rmcr.2013.12.012. eCollection 2014.
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Percutaneous embolization for ruptured ectopic bronchial artery aneurysm: a case report.经皮栓塞治疗破裂性异位支气管动脉瘤:一例报告
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