Zhang Wei-Hao, Jin Cheng-Yan, Qi Xiao, Zhang Guang-Xin
The Second Clinical Medical School, Jilin University, Changchun, Jilin, 130041, PR China.
Department of Thoracic Surgery, The Second Hospital of Jilin University, Changchun, Jilin, 130041, PR China.
J Cardiothorac Surg. 2024 Dec 31;19(1):693. doi: 10.1186/s13019-024-03328-z.
Bronchial artery pseudoaneurysm is a rare vascular disorder, and cases of bronchial pseudoaneurysms reported after lung surgery are even rarer. The number of reported cases is very limited due to the unclear pathogenesis, lack of diagnostic criteria and treatment guidelines, and nonspecific clinical manifestations.
The paper reports a case of a patient with primary lung adenocarcinoma who developed hemoptysis, chest and back pain, and right hemothorax after lobectomy. Due to the lack of experience in treatment, we suspected that the above symptoms were caused by postoperative broncho-vascular fistula. The second thoracotomy and bronchoscopy examination did not reveal any obvious hemorrhage or fistula, and a subsequent bronchial arteriography confirmed the presence of a pseudoaneurysm in the right main bronchial artery. Later, the patient underwent transcatheter bronchial artery embolization and was followed up for half of a year after the operation without experiencing any of the previously mentioned symptoms.
The case reports the successful cure of bronchial artery pseudoaneurysm after pulmonary lobectomy through bronchial artery embolization.
支气管动脉假性动脉瘤是一种罕见的血管疾病，肺手术后报告的支气管假性动脉瘤病例更为罕见。由于发病机制不明、缺乏诊断标准和治疗指南以及临床表现不具有特异性，报告的病例数量非常有限。
本文报道了一例原发性肺腺癌患者，在肺叶切除术后出现咯血、胸痛和背痛以及右侧血胸。由于缺乏治疗经验，我们怀疑上述症状是由术后支气管血管瘘引起的。第二次开胸手术和支气管镜检查未发现明显出血或瘘管，随后的支气管动脉造影证实右主支气管动脉存在假性动脉瘤。后来，患者接受了经导管支气管动脉栓塞术，术后随访半年，未出现上述任何症状。
该病例报告了通过支气管动脉栓塞术成功治愈肺叶切除术后支气管动脉假性动脉瘤的情况。
