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血管内治疗危及生命的咯血的胸主动脉瘤：两例报告

Endovascular Treatment of Thoracic Aortic Aneurysm Causing Life-Threatening Hemoptysis: Two Case Reports.

作者信息

Oğuz Şükrü, Bekirçavuşoğlu Süleyman, Pulathan Zerrin

机构信息

Department of Radiology, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey.

Department of Cardiovascular Surgery, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey.

出版信息

Case Rep Vasc Med. 2018 May 15;2018:7014170. doi: 10.1155/2018/7014170. eCollection 2018.

DOI:10.1155/2018/7014170
PMID:29862117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5976934/
Abstract

PURPOSE

To describe two patients presenting life-threatening hemoptysis with saccular thoracic aortic aneurysm penetrating lung parenchyma and its endovascular treatment.

CASE REPORT

We present two cases of 73- and 74-year-old men with massive hemoptysis secondary to saccular thoracic aortic aneurysm ruptured lung parenchyma who were successfully treated with endovascular approach with 3rd month's imaging follow-up.

CONCLUSION

Thoracic aortic aneurysm is one of the rarest causes of hemoptysis and thoracic endovascular aortic repair (TEVAR) and can be used for an effective and problem-solving treatment approach.

摘要

目的

描述两例因囊状胸主动脉瘤穿透肺实质而出现危及生命咯血的患者及其血管内治疗情况。

病例报告

我们报告两例73岁和74岁男性患者，因囊状胸主动脉瘤破裂穿透肺实质继发大量咯血，采用血管内治疗方法成功治疗，并进行了3个月的影像学随访。

结论

胸主动脉瘤是咯血最罕见的原因之一，胸主动脉腔内修复术（TEVAR）可作为一种有效且解决问题的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c619/5976934/8368a1cafc77/CRIVAM2018-7014170.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c619/5976934/720a57b07560/CRIVAM2018-7014170.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c619/5976934/8e10f636c726/CRIVAM2018-7014170.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c619/5976934/8368a1cafc77/CRIVAM2018-7014170.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c619/5976934/720a57b07560/CRIVAM2018-7014170.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c619/5976934/8e10f636c726/CRIVAM2018-7014170.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c619/5976934/8368a1cafc77/CRIVAM2018-7014170.003.jpg

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本文引用的文献

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Endovascular Repair of Aortobronchial Fistula due to Saccular Aneurysm of Thoracic Aorta.胸主动脉囊状动脉瘤所致主动脉支气管瘘的血管腔内修复术
Case Rep Vasc Med. 2017;2017:3158693. doi: 10.1155/2017/3158693. Epub 2017 Nov 27.
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Hemoptysis Is a Critical Sign of Aortobronchial Fistula.咯血是主支气管瘘的关键体征。
Intern Med. 2017 Oct 1;56(19):2683-2684. doi: 10.2169/internalmedicine.8627-16. Epub 2017 Sep 6.
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Predictors of outcome and different management of aortobronchial and aortoesophageal fistulas.主动脉支气管瘘和主动脉食管瘘的预后预测因素及不同治疗方法
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Diagnosis and management of hemoptysis.咯血的诊断与处理
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A modern experience with saccular aortic aneurysms.现代的囊状主动脉瘤体验。
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Surgical management of descending thoracic aortic disease: open and endovascular approaches: a scientific statement from the American Heart Association.降主动脉疾病的外科治疗：开放手术与血管腔内治疗方法：美国心脏协会科学声明
Circulation. 2010 Jun 29;121(25):2780-804. doi: 10.1161/CIR.0b013e3181e4d033. Epub 2010 Jun 7.
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Haemoptysis - a rare presentation of aortic ane urysm.咯血——主动脉瘤的一种罕见表现。
Lung India. 2008 Jan;25(1):20-1. doi: 10.4103/0970-2113.44133.
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Hemoptysis caused by erosion of thoracic aortic aneurysm.胸主动脉瘤侵蚀引起的咯血。
CMAJ. 2010 Mar 9;182(4):E186. doi: 10.1503/cmaj.090447. Epub 2010 Jan 11.
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[An autopsy case of massive hemoptysis due to a rupture of the thoracic aortic aneurysm into the left lung].[一例因胸主动脉瘤破裂入左肺导致大量咯血的尸检病例]
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