Abstract:
41-year-old lady, known case of Takayasu arteritis with pulmonary arterial involvement, presented with multiple episodes of haemoptysis (maximum 50 mL) in a week. She had undergone descending thoracic aorta angioplasty and stenting 3 years ago due to uncontrolled hypertension, left ventricular systolic dysfunction and approximately 70% stenosis of descending thoracic aorta. This lady was treated with embolization of hypertrophied bronchial artery as well as left internal mammary artery branch for management of haemoptysis. Embolization of hypertrophied bronchial artery in the setting of Takayasu arteritis with pulmonary arterial involvement presenting with haemoptysis is rare. Hypertrophied bronchial artery detected in post stenting computed tomography raises suspicion whether descending thoracic aorta stenting promotes the hypertrophy of bronchial artery. Literature of bronchial artery embolization in the setting of Takayasu with post DTA stenting is scarce.
摘要:
41岁的女士,已知的肺动脉受累的大动脉炎病例,一周内出现多次咯血(最大50mL)。3年前,由于不受控制的高血压,她接受了胸主动脉降血管成形术和支架置入术,左心室收缩功能障碍和大约70%的降主动脉狭窄。这位女士接受了肥大的支气管动脉和左乳内动脉分支的栓塞治疗,以治疗咯血。在大动脉炎伴肺动脉受累并伴有咯血的情况下,对肥大的支气管动脉进行栓塞是罕见的。在支架置入后计算机断层扫描中检测到的支气管动脉肥大,令人怀疑胸主动脉下降支架是否会促进支气管动脉肥大。DTA支架置入后Takayasu的支气管动脉栓塞文献很少。