Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac178.
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.
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。