Lobectomy for Anomalous Systemic Arterial Supply to the Basal Segment of the Lung in the Second Trimester of a Pregnant Patient with Hemoptysis.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2024-11-08 DOI:10.2169/internalmedicine.4283-24

Mio Sugino, Manabu Suzuki, Mikako Nakamura, Hiroto Hatano, Misao Nakanishi, Kento Misumi, Satoshi Nagasaka, Shinyu Izumi, Masayuki Hojo, Haruhito Sugiyama

引用次数: 0

Abstract

An anomalous systemic arterial supply to the basal segment of the lung (ABLL) is a rare congenital vascular anomaly. We herein report a case of ABLL in a 26-year-old pregnant woman with hemoptysis. Contrast-enhanced chest computed tomography (CT) revealed an abnormal vessel branching directly from the descending aorta and circulating to the left lower lobe while showing a normal bronchial anatomy. The patient was therefore diagnosed with ABLL. Maternal safety was a priority, and the patient underwent thoracoscopic left lower lobectomy at 19 weeks' gestation. We concluded that the hemoptysis had been caused by an increased circulating plasma volume during pregnancy.

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为一名咯血的孕妇进行肺叶切除术，以治疗第二孕期肺基底段系统动脉供应异常。

肺基底动脉供血异常（ABLL）是一种罕见的先天性血管异常。我们在此报告了一例 26 岁孕妇的肺基底动脉供血异常病例。对比增强胸部计算机断层扫描（CT）显示，一根异常血管直接从降主动脉分支并循环至左肺下叶，而支气管解剖结构正常。因此，患者被诊断为 ABLL。孕产妇安全是第一位的，因此患者在妊娠 19 周时接受了胸腔镜左肺下叶切除术。我们的结论是，咯血是由孕期循环血浆量增加引起的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.