冠状动脉作为非支气管体循环动脉的咯血患者行血管内栓塞治疗1例

Endovascular embolization hemoptysis in a patient with coronary artery as non-bronchial systemic artery: a case report

冠状动脉作为咯血的责任血管是非常罕见的。本例患者以支气管扩张伴咯血收入院, CT血管成像发现冠状动脉作为非支气管体循环动脉的一支, 支气管动脉栓塞术成功栓塞所有异常支气管动脉及非支气管体循环动脉后咯血立即停止。但是, 患者术后1及3个月均再发少量咯血, 经多学科讨论后行病变肺叶切除术, 术后未再咯血。

The coronary artery as a responsible vessel for hemoptysis is very rare.This patient was admitted to the hospital with bronchiectasis and hemoptysis,and the right coronary artery was found to be one of the non-bronchial systemic arteries by computed tomography angiography,and the hemoptysis stopped immediately after successful embolization of all bronchial arteries and non-bronchial systemic arteries by bronchial artery embolization.However,the patient had a recurrence of a small amount of hemoptysis 1 month and 3 months after surgery.The patient underwent lobectomy of the lesion after multidisciplinary discussion and did not have any hemoptysis after surgery.