Bertolani M F, Forese S, Muratori G, Marotti F, Bertolani M, Calandra Buonaura P L
Istituto di Clinica Pediatrica, Università di Modena, Italia.
Pediatr Med Chir. 1993 May-Jun;15(3):307-10.
The authors describe a rare case of congenital, bilateral arteriovenous fistulas of the lung, without other symptoms of hemorrhagic telangiectasis. The disease was diagnosed in a ten-year-old child, because of a chronic hypossiemia state. The angiography with digitalized technique defined, at the best, the vascular anomalies; the examen cannot be substituted by other imaging methods. First a therapeutic embolisation in angiography was tried without success because of the dimension of the arteriovenous shunt. Then a local excisional therapy was carried out, on one lung. One year after the operation, the oxygenative and clinical conditions of the patient are excellent.
作者描述了一例罕见的先天性双侧肺动静脉瘘病例,该病例无出血性毛细血管扩张的其他症状。该疾病在一名10岁儿童中被诊断出来,原因是其处于慢性低氧血症状态。采用数字化技术的血管造影术能最好地明确血管异常情况;该检查不能被其他成像方法替代。起初尝试在血管造影术中进行治疗性栓塞,但由于动静脉分流的大小而未成功。随后对一侧肺进行了局部切除治疗。术后一年,患者的氧合和临床状况良好。