女性感染性心内膜炎并发肺假性动脉瘤出血的栓塞治疗。
Embolization of Bleeding Pulmonary Arterial Pseudoaneurysm in a Woman With Infective Endocarditis.
机构信息
Department of Neuroscience and Imaging, Institute of Radiology, Section of Diagnostic Imaging and Therapy-Radiology Division, G. d'Annunzio University, Chieti, Italy.
Department of Neuroscience and Imaging, Institute of Radiology, Section of Diagnostic Imaging and Therapy-Radiology Division, G. d'Annunzio University, Chieti, Italy.
出版信息
Ann Thorac Surg. 2018 Aug;106(2):e61-e63. doi: 10.1016/j.athoracsur.2018.03.008. Epub 2018 Apr 6.
Pulmonary arterial pseudoaneurysm is a rare but life-threatening complication of infective endocarditis. This report describes a case of bleeding pulmonary arterial pseudoaneurysm in a young, drug-addicted woman with tricuspid annuloplasty after infective endocarditis that was promptly identified by computed tomography pulmonary angiography and successfully treated using coil embolization. Perfusion scintigraphy at 30 days confirmed the safety of endovascular treatment.
肺动脉假性动脉瘤是感染性心内膜炎的一种罕见但危及生命的并发症。本报告描述了一例年轻的药物滥用女性在感染性心内膜炎后行三尖瓣瓣环成形术后发生出血性肺动脉假性动脉瘤的病例，该病例通过计算机断层肺动脉造影术迅速确诊，并成功采用线圈栓塞治疗。30 天的灌注闪烁显像证实了血管内治疗的安全性。
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