采用动脉导管未闭封堵器成功治疗流入段短的纵隔支气管动脉瘤。

Mediastinal bronchial artery aneurysm with short inflow segment successfully treated with a patent ductus arteriosus occluder device.

作者信息

Patel Neeral R, Sidiqi Abdulwahab, Qazi Abdul Aziz, Jaberi Arash, Forbes Thomas L, Tan Kong Teng

机构信息

Interventional Radiology, University Health Network, Toronto, Ontario, Canada.

Vascular Surgery, University Health Network, Toronto, Ontario, Canada.

出版信息

J Vasc Surg Cases Innov Tech. 2020 Feb 20;6(1):93-95. doi: 10.1016/j.jvscit.2019.12.005. eCollection 2020 Mar.

DOI:10.1016/j.jvscit.2019.12.005

PMID:32095664

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7033448/

Abstract

Bronchial artery aneurysm (BAA) is a rare vascular abnormality that may result in life-threatening bleeding if it is left untreated. We present the case of a 35-year-old man with a mediastinal BAA characterized by a short inflow artery segment and tortuous single outflow vessel. The patient's BAA was treated with a novel approach involving placement of a patent ductus arteriosus closure device in the short inflow segment as well as coil embolization of the outflow vessel, successfully excluding the BAA. Two-week follow-up revealed no flow in the embolized artery on computed tomography angiography. This case demonstrates the first successful use of a patent ductus arteriosus occluder device in the treatment of a mediastinal BAA with short inflow segment.

摘要

支气管动脉动脉瘤（BAA）是一种罕见的血管异常，如果不治疗可能导致危及生命的出血。我们报告一例35岁男性纵隔BAA病例，其特点是流入动脉段短且流出血管单一且迂曲。该患者的BAA采用了一种新方法进行治疗，即在短流入段放置动脉导管未闭封堵装置，并对流出血管进行弹簧圈栓塞，成功排除了BAA。两周随访的计算机断层血管造影显示栓塞动脉无血流。该病例证明了首次成功使用动脉导管未闭封堵器治疗流入段短的纵隔BAA。