胸主动脉瘤支架术后反复咯血1例

Recurrent hemoptysis after aorta aneurysm stent implantation:a case report

咯血的病因复杂多样。主动脉瘤所致咯血属于隐源性咯血的罕见病因之一。本文报道1例罕见的咯血病例:男性,56岁,因咯血诊断为胸主动脉瘤,在动脉支架植入后反复间断咯血,经过动脉造影及多学科讨论,最终诊断为胸廓动脉肺动脉瘘和主动脉-支气管瘘所致咯血。对于主动脉手术后反复咯血患者,需要高度警惕主动脉-支气管瘘。

The etiology of hemoptysis is diverse and complex,with aorta aneurysm being identified as a rare cause of cryptogenic hemoptysis.Here,we reported a 56-year-old male patient who experienced hemoptysis due to a thoracic aorta aneurysm that persisted despite stent implantation.Further investigation revealed the presence of a lateral thoracic artery-pulmonary artery fistula and an aortobronchial fistula,diagnosed by angiography and multidisciplinary consultation.Therefore,patients with recurrent hemoptysis after aortic surgery should be monitored for the possibility of an aortobronchial fistula.