肺动脉伪动脉瘤:一个后COVID复杂症
Sajida Shah1, Zainab Malik2, Khurram Khaliq Bhinder2
1Department of Radiology, Shifa International Hospital, Islamabad-Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|July 9, 2023
概括
在COVID肺炎后发现了一种罕见的,可能致命的并发症:大型肺部伪动脉瘤. 这一案例凸显了在感染后诊断血管肺部问题时需要保持警.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
背景情况:
- 后COVID-19并发症可以表现在各种器官系统.
- 血管并发症虽然很少见,但对于从严重的COVID肺炎中恢复过来的患者来说,这是一个重大问题.
研究的目的:
- 报告一个可能致命的肺部伪动脉瘤病例.
- 突出诊断成像发现和管理挑战这种罕见的后COVID并发症.
主要方法:
- 一名65岁的男性最近患有COVID肺炎,出现呼吸障碍和发烧.
- 用对比度增强的胸部CT扫描和CT动脉图用于诊断.
- 传统的血管造影是通过右侧常见的股骨静脉进行的.
主要成果:
- 图像检查显示,右下肺叶有一个大而圆的质体,可疑为肺瘤.
- 血管造影证实了一个巨大的伪动脉瘤,起源于右下垂间叶动脉的后叶中叶分支.
- 血管内栓塞是不可能的,需要手术转诊.
结论:
- 肺伪动脉瘤是一种罕见但至关重要的COVID-19后并发症.
- 多模式成像对于诊断至关重要.
- 管理需要多学科的方法,通常涉及胸部手术.
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