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线圈栓塞治疗右上肺隔离症。

Coil embolization to treat pulmonary sequestration in the right upper lobe.

机构信息

Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac178.

DOI:10.1093/icvts/ivac178
PMID:35809052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9270865/
Abstract

Although there have been a few case reports of pulmonary sequestration, it is primarily located in the lower lobe and left lung, rarely in the right upper lobe. Here, we report a case presented with haemoptysis. Computed tomography images revealed flake ground-glass shadows in the right upper lobe. Computed tomography angiography demonstrated an artery supplied the affected lesions stemmed from the aortic arch. We diagnosed and treated her with bronchial artery angiography with coil embolization. No complications were found after operation until now. Thus, CTA could help identify the abnormal blood vessels, and interventional therapy may be an effective alternative to surgery of pulmonary sequestration.

摘要

虽然已有少数关于肺隔离症的病例报告,但它主要位于下叶和左肺,很少发生在右上叶。在这里,我们报告了一例以咯血为表现的病例。计算机断层扫描图像显示右上叶片状磨玻璃影。计算机断层血管造影显示受影响病变的供血动脉源自主动脉弓。我们对其进行了支气管动脉造影和线圈栓塞治疗。术后至今未发现并发症。因此,CTA 有助于识别异常血管,介入治疗可能是肺隔离症手术的有效替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/9270865/4207168f7cc4/ivac178f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/9270865/8e269a3f3bd0/ivac178f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/9270865/4207168f7cc4/ivac178f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/9270865/8e269a3f3bd0/ivac178f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/9270865/4207168f7cc4/ivac178f2.jpg

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1
Coil embolization to treat pulmonary sequestration in the right upper lobe.线圈栓塞治疗右上肺隔离症。
Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac178.
2
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本文引用的文献

1
Intralobar pulmonary sequestration in elderly woman: a rare case report with emphasis on imaging findings.老年女性叶内型肺隔离症:一例罕见病例报告并着重介绍影像学表现
Radiol Case Rep. 2016 Jun 22;11(3):144-7. doi: 10.1016/j.radcr.2016.05.004. eCollection 2016 Sep.
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Intralobar sequestration of lung.肺叶内型肺隔离症
Lung India. 2009 Oct;26(4):159-61. doi: 10.4103/0970-2113.56357.
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Lower accessory pulmonary artery with intralobar sequestration of lung; a report of seven cases.伴肺叶内隔离症的低位副肺动脉:7例报告
J Pathol Bacteriol. 1946 Jul;58(3):457-67.
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Congenital pulmonary venolobar syndrome: spectrum of helical CT findings with emphasis on computerized reformatting.
Radiographics. 2003 Sep-Oct;23(5):1175-84. doi: 10.1148/rg.235035004.
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Lung sequestration: report of seven cases and review of 540 published cases.肺隔离症:7例报告及540例已发表病例的综述
Thorax. 1979 Feb;34(1):96-101. doi: 10.1136/thx.34.1.96.