Two Cases of Bronchial Artery Racemose Hemangioma Successfully Treated with Bronchial Artery Embolization
Two Cases of Bronchial Artery Racemose Hemangioma Successfully Treated with Bronchial Artery Embolization
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DOI：
10.1272/jnms.jnms.2022_89-601
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发表时间：
2022-12-01
影响因子：
1
通讯作者：
Yokobori, Shoji
中科院分区：
文献类型：
--
作者：
Hashiba, Natsuki;Nakae, Ryuta;Yokobori, Shoji
总状血管瘤破裂可导致支气管动脉扩张和弯曲，可导致大出血和呼吸衰竭。支气管动脉栓塞术(BAE)可以治疗这种危及生命的疾病，如我们在两个病例中所示。首例为89岁女性，主诉突发胸背痛。支气管动脉血管造影显示为总状血管瘤，伴有2厘米的动脉瘤。第二例为50岁男性，咯血和呼吸困难，最终需要插管。支气管动脉造影显示为总状血管瘤和支气管动脉-肺动脉瘘。两例BAE均获成功，无再出血。治疗措施包括肺叶切除或节段切除、支气管动脉结扎和支气管动脉栓塞术。BAE对呼吸状态的不良影响低，侵袭性小，患者恢复快，可作为治疗支气管动脉出血性集束状血管瘤的一线治疗方法。(J Nippon Med Sch 2022；：594598)
Rupture of a racemose hemangioma causing dilatation and tortuosity of the bronchial artery can result in massive bleeding and respiratory failure. Bronchial artery embolization (BAE) can treat this life-threatening condition, as we show in two cases. The first case was of an 89-year-old female complaining of sudden-onset chest and back pain. Bronchial artery angiography demonstrated a racemose heman-gioma with a 2 cm aneurysm. The second case was of a 50-year-old male with hemoptysis and dyspnea, eventually requiring intubation. Bronchial arteriography showed a racemose hemangioma and a bron-chial artery-pulmonary arterial fistula. BAE was successfully performed in both cases, with no recurrent hemorrhage. Therapeutic interventions in bronchial artery racemose hemangiomas include lobectomy or segmentectomy, bronchial arterial ligation, and BAE. BAE should be considered as first-line therapy for bleeding racemose hemangiomas of the bronchial artery because of its low risk of adverse effects on respiratory status, minimal invasiveness, and faster patient recovery. (J Nippon Med Sch 2022; 89: 594?598)