Akahane T, Kurokawa Y, Takahashi T, Satomi S, Sasaki H
Second Department of Surgery, Tohoku University School of Medicine, Sendai, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Dec;44(12):2196-9.
A case of systemic artery to pulmonary vessel fistula was reported in this paper. A 44-year-old male who complained recurrent hemoptysis was admitted to our hospital. The angiography revealed an abnormal vascular network in the peripheral part of the 3rd intercostal artery. In this study, two isolated small aneurysms were also recognized in the right bronchial artery. For the purpose of surgical resection for them, video assisted right upper lobectomy was performed. Pathological study on resected specimen showed an artery came from extrapleural space penetrated the pleura and go deeper into the lung parenchyma the artery joined the arteriovenenous plexus which was located just beneath the thinned wall of the bronchiole. It is supposed that recurrent bleeding from the plexus perforated the thinned bronchial wall and caused intrabronchial hemorrhage.
本文报道了一例体动脉至肺血管瘘病例。一名44岁男性因反复咯血入院。血管造影显示第三肋间动脉外周部分存在异常血管网。在本研究中，右支气管动脉还发现了两个孤立的小动脉瘤。为对其进行手术切除，实施了电视辅助右上叶切除术。切除标本的病理研究显示，一条来自胸膜外间隙的动脉穿透胸膜并深入肺实质，该动脉与位于细支气管薄壁下方的动静脉丛相连。推测丛状血管反复出血穿破变薄的支气管壁，导致支气管内出血。
