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一名患有囊性纤维化和大量咯血的患者，经导管使用线圈栓塞复杂的肺动脉假性动脉瘤并伴有甲状腺颈干-肺动脉瘘形成。

Transcatheter coil embolization of a complex pulmonary artery pseudoaneurysm with thyrocervical trunk-pulmonary arterial fistulization in a patient with cystic fibrosis and massive hemoptysis.

作者信息

Smith Zachary T, Haines John, Calkins Elias, Fox John, Scriver Geoffrey, Morris Christopher S

机构信息

Department of Radiology, Robert Larner M.D. College of Medicine, University of Vermont Medical Center, 111 Colchester Ave, Burlington, VT 05401, USA.

出版信息

Radiol Case Rep. 2022 Apr 4;17(6):1836-1842. doi: 10.1016/j.radcr.2022.03.024. eCollection 2022 Jun.

DOI:10.1016/j.radcr.2022.03.024
PMID:35401900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8990057/
Abstract

Pulmonary artery pseudoaneurysm (PAP) is a rare cause of life-threatening hemoptysis and tends to develop in the setting of infection, neoplasm, or trauma. Successful endovascular coil embolization has demonstrated effectiveness in treating PAPs and is now the treatment of choice for these patients. Vascular supply to PAPs is highly variable and often requires embolization of both the systemic and pulmonary feeding vessels. This is a case report of a successful transcatheter coil embolization of a complex PAP with a thyrocervical trunk-pulmonary arterial fistula in a patient with massive hemoptysis in the setting of advanced cystic fibrosis.

摘要

肺动脉假性动脉瘤（PAP）是危及生命的咯血的罕见病因，往往在感染、肿瘤或创伤的情况下发生。成功的血管内线圈栓塞已证明对治疗PAP有效，现在是这些患者的首选治疗方法。PAP的血管供应高度可变，通常需要栓塞体循环和肺供血血管。本文报告一例晚期囊性纤维化患者发生大量咯血，成功经导管线圈栓塞伴有甲状腺颈干-肺动脉瘘的复杂PAP的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/de6352ef053b/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/184b8ff64cf6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/7efc468f6b18/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/0064084bd6a0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/de6352ef053b/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/184b8ff64cf6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/7efc468f6b18/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/0064084bd6a0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d408/8990057/de6352ef053b/gr4a.jpg

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本文引用的文献

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Pulmonary Artery Pseudoaneurysms: Clinical Features and CT Findings.肺动脉假性动脉瘤：临床特征与CT表现
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