放射線治療後の進行した肺がん患者における肺動脈小動脈症 (PAA): 致死する可能性のある合併症
Josephine Coffey1, Ayan Sabih1
1Institute of Respiratory Waikato Hospital Hamilton New Zealand.
Respirology case reports
|August 27, 2025
まとめ
肺動脈副動脈腫 (PAA) は稀な,生命を脅かす状態です. このケースは 症状のあるPAAの 予後が悪いことと 治療の選択肢が限られていることを 強調しています
科学分野:
- 心血管医学
- 肺医学
- 介入放射線学
背景:
- 肺動脈偽動脈症 (PAA) は珍しい血管異常である.
- PAAは著しい罹病率と死亡率に関連しています.
- 診断と管理は,限られた証拠のために困難です.
研究 の 目的:
- 肺動脈小動脈症候群を報告する
- PAAの管理における診断と治療の課題を説明する.
- 症状性PAAに伴う不良予後を強調する.
主な方法:
- 74歳の男性 重度の呼吸器不全と 血栓炎の症例報告
- 進行した肺がん歴
- PAAのコイルエンボライゼーションで治療を試みた.
主要な成果:
- コイル・エンボライゼーションはPAAの管理に失敗しました.
- 患者は入院後72時間で死亡しました
- 症状のあるPAAは高い死亡率を示しています.
結論:
- PAAは極めてまれで,生命を脅かすものです.
- PAAの治療に関する証拠は限られている.
- 症状のあるPAAは長期的な予後が悪く,さらなる研究が必要であることを強調しています.
関連する概念動画
Aneurysm II: Clinical Manifestations and Diagnostic Studies
22
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
22
Radiological Investigation III: Pulmonary Angiogram and PET Scan
167
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
167
Pneumothorax-II
355
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
355
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.9K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.9K
Pulmonary Embolism I: Introduction
45
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
45
Other Pulmonary Disorders
906
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
906


