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一氧化氮稳定后成功行支气管动脉栓塞治疗艾森曼格综合征咯血

Successful Bronchial Artery Embolization after Stabilization with Nitric Oxide for the Treatment of Haemoptysis in a Patient with Eisenmenger Syndrome.

机构信息

Department of Cardiology, İnönü University Faculty of Medicine, Malatya, Turkey.

出版信息

Turk Kardiyol Dern Ars. 2022 Sep;50(6):459-462. doi: 10.5543/tkda.2022.21304.

Abstract

Hemoptysis, accompanying various chronic lung diseases, some systemic diseases, infections, structural heart diseases, or syndromes is a clinical condition that is quite mortal when it is massive. Hemoptysis is a common complication of Eisenmenger syndrome. Its frequency increases with age. It is an important cause of mortality in patients with Eisenmenger syndrome. Embolization of systemic-pulmonary collateral arteries is an effective method in the treatment of hemoptysis in eligible patients with Eisenmenger syndrome. In this case report, a patient with Eisenmenger syndrome, developed due to large patent ductus arteriosus, received dual pulmonary arterial hypertension-specific treatment, after the development of hemoptysis, medical stabilization was provided with initial inhaled nitric oxide therapy and then treated with bronchial artery embolization without complications is presented.

摘要

咯血伴有各种慢性肺部疾病、一些系统性疾病、感染、结构性心脏病或综合征,是一种在大量咯血时非常致命的临床情况。咯血是艾森曼格综合征的常见并发症。其发生率随年龄增长而增加。它是艾森曼格综合征患者死亡的重要原因。肺动静脉吻合支栓塞是适合患者的艾森曼格综合征咯血的有效治疗方法。在本病例报告中,因大型动脉导管未闭引起的艾森曼格综合征患者接受了双重肺动脉高压特异性治疗,在发生咯血后,通过初始吸入一氧化氮治疗进行医疗稳定,然后进行支气管动脉栓塞治疗,无并发症,现报道如下。

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