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Coil Embolization of Pulmonary Sequestration in Two Infants-A Safe Alternative Management

利用螺絲圈栓塞術成功治療兩嬰兒之游離肺

摘要


游離肺為一罕見的先天性疾病,患者會出現額外但不具功能的肺部組織,此先天異常之構造通常由主動脈分支而來的側枝循環來提供血流供應。在過去傳統治療方式仍是以外科手術切除為主,而利用心導管方式進行螺絲圈栓塞術來治療游離肺,乃是目前較不具侵襲性的另一項治療選擇。我們報告二案例,術前利用超音波及心導管方式分別診斷為肺葉內(intralobar)及肺葉外(extralobar)之游離肺,兩者皆成功地以螺絲圈栓塞術治療其游離肺,且術後無任何併發症產生。

並列摘要


Pulmonary sequestration is a rare congenital anomaly with nonfunctioning lung tissue, for which the arterial blood supply is usually derived from the thoracic or abdominal aorta. Surgical resection is the conventional treatment for pulmonary sequestration. The arterial embolization of pulmonary sequestration is an alternative technique and a less invasive treatment than conventional surgical resection. Here, we report two infants with intralobar and extralobar types of pulmonary sequestration, successfully treated with coil embolization of the feeding artery without any complications.

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