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多发性支气管动脉动脉瘤的开放性手术矫正

Open surgical correction of multiple bronchial artery aneurysms.

作者信息

Van den Eynde Jef, Arjomandi Rad Arian, Karasov Ilya, Airapetyan Arkady, Sá Michel Pompeu Barros Oliveira, Easo Jerry, Zhigalov Konstantin, Weymann Alexander, Kadyraliev Bakytbek K

机构信息

Unit of Cardiac Surgery, Department of Cardiovascular Diseases, University Hospitals Leuven, Leuven, Belgium.

Faculty of Medicine, School of Medicine, Imperial College London, London, UK.

出版信息

J Card Surg. 2020 Jul;35(7):1657-1659. doi: 10.1111/jocs.14600. Epub 2020 May 3.

Abstract

BACKGROUND

Bronchial artery aneurysms (BAAs) are a rare vascular entity. They can have various presentations ranging from an incidental finding on radiological examination to life-threatening hemoptysis.

MATERIAL AND METHODS

We report the case of a 60-year-old woman with three posterior mediastinal BAAs who presented with unilateral periscapular pain, shortness of breath, hoarseness, and dysphagia. The BAAs were removed successfully via thoracotomy, with excellent recovery and relief of the periscapular pain.

DISCUSSION AND CONCLUSION

We use this case as a platform to discuss the treatment options for BAAs.

摘要

背景

支气管动脉动脉瘤(BAA)是一种罕见的血管病变。它们可有多种表现,从放射学检查时的偶然发现到危及生命的咯血。

材料与方法

我们报告了一例60岁女性,患有三个后纵隔BAA,表现为单侧肩胛周疼痛、呼吸急促、声音嘶哑和吞咽困难。通过开胸手术成功切除了BAA,患者恢复良好,肩胛周疼痛缓解。

讨论与结论

我们以该病例为平台讨论BAA的治疗选择。

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