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经栓塞成功治疗的右支气管动脉瘤:1例罕见病例报告

Right bronchial artery aneurysm successfully managed by embolization: Report of a rare case.

作者信息

Aburiash Tamara, Sawalha Moaath, Giacaman Yazan, Khader Mohammed

机构信息

Department of Medicine, An-Najah National University, Nablus, Palestine.

Department of Radiology, An-Najah National University Hospital, Nablus, Palestine.

出版信息

Radiol Case Rep. 2025 Apr 18;20(7):3356-3360. doi: 10.1016/j.radcr.2025.03.069. eCollection 2025 Jul.

Abstract

Bronchial artery aneurysms (BAAs) are rare but can cause life-threatening pulmonary hemorrhage. Early diagnosis and treatment are crucial for preventing fatal complications. BAAs may be associated with inflammatory lung diseases or may occur idiopathically. Super-selective bronchial artery embolization has become the preferred therapeutic approach due to its safety and efficacy in controlling bleeding. We present a case of a 31-year-old otherwise healthy female who experienced recurrent hemoptysis and was found to have a large, tortuous right bronchial artery aneurysm measuring 2.3 × 3.6 cm, identified via computed tomography (CT) and angiography. The aneurysm originated from the descending aorta. Given the high risk of rupture, the patient underwent right bronchial artery embolization (BAE) using Contour particles and coils, achieving a favorable outcome. Follow-up imaging is planned to ensure long-term success and prevent recurrence.

摘要

支气管动脉瘤(BAAs)较为罕见,但可导致危及生命的肺出血。早期诊断和治疗对于预防致命并发症至关重要。BAAs可能与炎性肺部疾病相关,也可能是特发性的。超选择性支气管动脉栓塞术因其在控制出血方面的安全性和有效性,已成为首选的治疗方法。我们报告一例31岁的健康女性病例,该患者反复咯血,经计算机断层扫描(CT)和血管造影检查发现有一个2.3×3.6厘米的巨大、迂曲的右支气管动脉瘤。该动脉瘤起源于降主动脉。鉴于破裂风险高,患者接受了使用Contour颗粒和弹簧圈的右支气管动脉栓塞术(BAE),取得了良好的效果。计划进行随访成像,以确保长期成功并预防复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e572/12035722/6ecd207ad9f9/gr1.jpg

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