- 期刊
Therapeutic Embolization of Anomalous Systemic Arterial Supply to the Normal Basal Segments of the Left Lower Lobe-A Safe Alternative to Surgery
用心導管栓塞術治療支配左下肺葉的不正常主動脈分支：一種安全且非外科手術的治療方法
摘要
支配正常左下肺葉的不正常主動脈分支是一種少見的先天性異常。雖然大多數的病人並沒有出現症狀，但建議不管是否出現症狀皆需治療，因為有併發肺高壓咳血及心衰竭的潛在危險。目前已有數種外科治療的方式來處理這種少見的疾病，包括肺葉切除、結紮或吻合這些不正常血管。用心導管栓塞不正常主動脈分支是一種侵襲性較小且非外科手術的治療方法。我們陳述兩個案例，分別是呈現心衰竭的三個月女嬰和二尖辦回流併有咳血的十三歲女孩。兩例的電腦斷層和血管攝影皆顯示有支配正常左下肺葉的不正常主動脈分支，並被心導管栓塞術治療成功。我們建議心導管栓塞術是一種安全且和外科處理一樣有效的替代方法。
並列摘要
Anomalous systemic arterial supply to the normal basal segments of the left lower lobe is a rare congenital anomaly. Although most cases are asymptomatic, treatment is recommended for all patients with or without symptoms because of their potential risk for hemoptysis due to pulmonary hypertension and heart failure due to systemic artery-to-pulmonary vein shunt. There are several surgical procedures available for this rare disease, including lobectomy, ligation or anastomosis of the anomalous systemic artery. Transarterial embolization is a new and semi-invasive technique compared with surgical treatment. Here we describe one 3 month-old female infant with congestive heart failure and one 13 year-old girl with mitral regurgitation and hemoptysis. Computed tomography and angiography demonstrated anomalous systemic artery supply to the left lower lung without coexistence of pulmonary sequestration in both cases. Both patients underwent successful coil embolization of the anomalous artery. Our experience suggests that transarterial etubolization could be a safe and effective alternative method to surgery.
延伸閱讀
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