Department of Cardiovascular and Thoracic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Department of Surgery, Keiyukai Sapporo Hospital, Sapporo, Hokkaido, Japan.
Ann Thorac Cardiovasc Surg. 2021 Aug 20;27(4):260-263. doi: 10.5761/atcs.cr.18-00275. Epub 2019 Mar 11.
We describe a 36-year-old asymptomatic female with multiple bronchial artery aneurysms (BAAs) and a bronchial artery (BA) to pulmonary artery (PA) fistula. She was treated with thoracoscopic BA resection without lobectomy in lieu of catheter embolization as first-line treatment. The configuration of the BA and the location of the BAAs were clearly visualized using three-dimensional computed tomography (3DCT); therefore, the segment of the BA to resect was assessed preoperatively and complete resection of all BAAs was performed. Preoperative BA angiography delineated the BA to PA fistula, and guided surgical decision-making.
我们描述了一名 36 岁无症状女性，患有多个支气管动脉动脉瘤（BAAs）和支气管动脉（BA）至肺动脉（PA）瘘。她接受了胸腔镜下 BA 切除术，而不是导管栓塞作为一线治疗。三维计算机断层扫描（3DCT）清楚地显示了 BA 的形态和 BAA 的位置；因此，术前评估了要切除的 BA 节段，并对所有 BAA 进行了完全切除。术前 BA 血管造影描绘了 BA 至 PA 瘘，并指导了手术决策。
