Chantepie A, Robert M, Pelletier J, Gold F, Mercier C, Lacombe A, Laugier J
Chir Pediatr. 1980;21(6):407-10.
The authors report the case of a 15 day old neonate presenting a beta hemolitic streptococic (group A) infection, followed by cardio-respiratory failure and radiological opacification of the left superior lobe associated with ventilatory troubles at the left lung base. Massive hemoptysis made an angiographic study mandatory with the diagnosis of a mediastinal vascular tumor placed besides the left descending aorta with compression of the left bronchovasculary pedicule. Tumor ressection was not possible during surgical exploration and a left superior lobectomy was performed. Histological examination showed pulmonary infarctus. The child died a few weeks later. Autopsy revealed mycotic arterial aneurysm of the superior bronchic artery, a very rare lesion considering its localisation and the age of the patient.
作者报告了一例15天大的新生儿,其患有A组β溶血性链球菌感染,随后出现心肺功能衰竭,左上叶放射学致密影,并伴有左肺底部通气障碍。大量咯血使得必须进行血管造影研究,诊断为位于左降主动脉旁的纵隔血管肿瘤,伴有左支气管血管蒂受压。手术探查期间无法进行肿瘤切除,遂进行了左上叶切除术。组织学检查显示为肺梗死。患儿几周后死亡。尸检发现上支气管动脉霉菌性动脉瘤,考虑到其位置和患者年龄,这是一种非常罕见的病变。