肺动脉的近端中断与全身支气管/肋间动脉瘤形成:一个病例报告
Runlin Yang1,2, Robert Ng3,4, Albert Goh3
1Department of Interventional Radiology, Royal North Shore Hospital, Reserve Rd, St Leonards, NSW, 2065, Australia. linday9510@gmail.com.
CVIR endovascular
|August 1, 2025
概括
肺动脉近端中断 (PIPA) 是罕见的. 支气管动脉栓塞有效地治疗PIPA患者的大型血栓塞,为手术提供了不那么侵入性的替代方案.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 肺动脉近端断裂 (PIPA) 是一种罕见的先天性异常.
- 大规模的血栓溶解可能是PIPA的危及生命的并发症.
研究的目的:
- 报告一个67岁的PIPA妇女发生大规模血栓塞的病例.
- 评估支气管动脉栓塞作为PIPA中血栓塞的治疗方法的疗效.
主要方法:
- 一个67岁的PIPA女性患者的病例报告.
- 诊断成像评估肺动脉解剖学和附带循环.
- 多学科团队讨论以确定最佳的治疗策略.
- 两个阶段的支气管动脉栓塞程序.
主要成果:
- 这位患者出现了大规模的血栓溶解.
- 图像显示右侧主要肺动脉是低可塑的,上/中叶肺动脉缺失,有曲的全身附带物.
- 由于手术出血风险高,支气管动脉栓塞被选为肺切除术.
- 患者在栓塞后13个月的随访中仍然没有发生血栓塞.
结论:
- 支气管动脉栓塞可以是一种安全有效的第一线治疗,用于PIPA患者的大规模血栓塞.
- 这种侵入性较小的方法可以避免在患有复杂附带循环的患者中与手术相关的风险.
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