van der Weijden P, Baur L H, Kool L J, Vliegen H W, van der Wall E E
Department of Cardiology, Leiden University Medical Centre, The Netherlands.
Int J Card Imaging. 1998 Apr;14(2):123-6. doi: 10.1023/a:1005946202878.
Description of embolization as a treatment for bleeding bronchopulmonary collaterals in congenital heart disease.
After palliative corrective surgery of Tetralogy of Fallot with pulmonary atresia, haemoptysis due to ruptured bronchopulmonary collaterals is a well known complication. We describe a 31 year old patient with haemoptysis after incomplete correction because of Tetralogy of Fallot with pulmonary atresia. Because supportive treatment failed, the bleeding site was localized angiographically. Collaterals emerged from the right mammary artery, several intercostal arteries and the right costobrachial truncus. Embolization of these vessels with non absorbable particles stopped the bleeding. A follow-up of more than one year was uneventful.
Embolization of bronchial collaterals has to be considered in patients with haemoptysis due to complex congenital disorders.
描述栓塞作为先天性心脏病中支气管肺侧支出血的一种治疗方法。
在法洛四联症合并肺动脉闭锁的姑息性矫正手术后，支气管肺侧支破裂导致咯血是一种众所周知的并发症。我们描述了一名31岁因法洛四联症合并肺动脉闭锁不完全矫正后咯血的患者。由于支持治疗失败，通过血管造影确定出血部位。侧支血管起源于右乳内动脉、数条肋间动脉和右肋臂干。用不可吸收颗粒栓塞这些血管后出血停止。超过一年的随访无异常情况。
对于因复杂先天性疾病导致咯血的患者，必须考虑对支气管侧支进行栓塞治疗。
