Pua Uei, Han Hwee Quek Lawrence, Dokev Basheer Ahmed Aneez
Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ann Vasc Dis. 2019 Jun 25;12(2):253-255. doi: 10.3400/avd.cr.18-00109.
Bronchial artery-pulmonary artery arterio-venous malformation, previously known as "bronchial artery primary racemose hemangioma" is a rare vascular malformation. The literature surrounding the imaging findings and treatment is currently limited. We hereby describe the imaging findings and a novel endovascular approach of utilizing bi-directional embolization from both the pulmonary and bronchial artery to occlude the malformation, leading to thrombosis and resolution of symptoms. This strategy represents a potential treatment option of non-surgical patients in this rare malformation.
支气管动脉-肺动脉动静脉畸形，以前称为“支气管动脉原发性蔓状血管瘤”，是一种罕见的血管畸形。目前关于其影像学表现和治疗的文献有限。我们在此描述其影像学表现以及一种利用肺动脉和支气管动脉双向栓塞来闭塞畸形的新型血管内治疗方法，该方法可导致血栓形成并缓解症状。这种策略代表了这种罕见畸形非手术患者的一种潜在治疗选择。
