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弥漫性肺动静脉畸形伴血管狭窄的诊断难题。

Diagnostic Dilemma in a Case of Diffuse Pulmonary Arteriovenous Malformation With Vascular Stenosis.

机构信息

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Ann Thorac Surg. 2020 Jul;110(1):e47-e49. doi: 10.1016/j.athoracsur.2019.10.088. Epub 2019 Dec 23.

DOI:10.1016/j.athoracsur.2019.10.088
PMID:31877288
Abstract

Diffuse pulmonary arteriovenous malformation is a rare entity, the exact incidence of which is unknown. It can be limited to a single lobe, or it can diffusely involve one or both the lungs. Early diagnosis and treatment is crucial, as it is associated with increased frequency of thoracic and neurologic complications. Different diagnostic modalities offer some advantages over the others. None of the reported cases in the literature have associated stenosis of any major artery. We describe a rare case of diffuse pulmonary arteriovenous malformation limited to a lobe associated with descending pulmonary artery stenosis.

摘要

弥漫性肺动静脉畸形是一种罕见的疾病,其确切发病率尚不清楚。它可以局限于单个肺叶,也可以弥漫性累及一个或两个肺叶。早期诊断和治疗至关重要,因为它与胸部和神经系统并发症的发生率增加有关。不同的诊断方法各有优势。文献中报道的病例均无任何主要动脉狭窄。我们描述了一例罕见的局限于肺叶的弥漫性肺动静脉畸形合并肺动脉干狭窄的病例。

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