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以声音嘶哑为表现的支气管动脉假性动脉瘤:诊断与血管内治疗

Bronchial artery pseudoaneurysm presenting with hoarseness: Diagnosis and endovascular management.

作者信息

Lo Eric Yu Wei, Viiala Nicholas, Catt Jules, French Bruce

机构信息

Department of Cardiothoracic Surgery, Liverpool Hospital, Elizabeth Street, Liverpool, NSW, 2170, Australia.

Department of Haematology, Liverpool Hospital, Elizabeth Street, Liverpool, NSW, 2170, Australia.

出版信息

Radiol Case Rep. 2022 Aug 19;17(10):4018-4020. doi: 10.1016/j.radcr.2022.07.087. eCollection 2022 Oct.

DOI:10.1016/j.radcr.2022.07.087
PMID:36039083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9418193/
Abstract

Bronchial artery pseudoaneurysm is a rare entity which is diagnosed radiologically; with or without symptoms. Symptoms of phonation changes with bronchial artery pseudoaneurysm are yet to be reported. This article describes the case of a 56-year-old man who presented with a history of a hoarse voice. This was investigated with computed tomography of his chest which diagnosed a bronchial artery pseudoaneurysm under the arch of the aorta. He was subsequently treated with coil embolization. The original symptoms improved with this intervention. This case highlights the rare presentation of hoarseness of voice in this rare condition.

摘要

支气管动脉假性动脉瘤是一种罕见的疾病,通过放射学检查进行诊断,有无症状均可。支气管动脉假性动脉瘤导致发声改变的症状尚未见报道。本文描述了一例56岁男性患者,其有声音嘶哑病史。通过胸部计算机断层扫描进行检查,诊断为主动脉弓下的支气管动脉假性动脉瘤。随后对其进行了弹簧圈栓塞治疗。经过该干预,原有症状得到改善。该病例凸显了在这种罕见疾病中声音嘶哑这一罕见表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff34/9418193/08ecac8bbd8c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff34/9418193/959f0634aec5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff34/9418193/08ecac8bbd8c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff34/9418193/959f0634aec5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff34/9418193/08ecac8bbd8c/gr2.jpg

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本文引用的文献

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Radiol Case Rep. 2021 Aug 1;16(10):2835-2840. doi: 10.1016/j.radcr.2021.06.076. eCollection 2021 Oct.
2
The effect of transcatheter bronchial artery embolization in five patients with bronchial artery aneurysm.经导管支气管动脉栓塞术对5例支气管动脉瘤患者的疗效。
Postepy Kardiol Interwencyjnej. 2020 Sep;16(3):330-335. doi: 10.5114/aic.2020.99269. Epub 2020 Oct 2.
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A ruptured bronchial artery aneurysm with massive haemoptysis.
一例伴有大量咯血的支气管动脉动脉瘤破裂。
BMJ Case Rep. 2017 May 22;2017:bcr-2017-220392. doi: 10.1136/bcr-2017-220392.
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Giant mediastinal bronchial artery aneurysm mimicking benign esophageal tumor: a case report and review of 26 cases from literature.酷似良性食管肿瘤的巨大纵隔支气管动脉瘤:一例报告并文献复习26例
J Vasc Surg. 2003 Nov;38(5):1125-9. doi: 10.1016/s0741-5214(03)00707-9.
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Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review.支气管及非支气管体动脉栓塞术治疗危及生命的咯血:一项综述
Radiographics. 2002 Nov-Dec;22(6):1395-409. doi: 10.1148/rg.226015180.
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Ruptured mediastinal bronchial artery aneurysm: a dilemma of diagnosis and therapeutic approach.纵隔支气管动脉动脉瘤破裂:诊断与治疗方法的困境
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