[Pulmonary arteriovenous aneurysm].

Le Poumon et le coeur Pub Date : 1983-01-01
G Nouvet, P David, J P Duhamel, P Morere, A Genevois, A Thiebault, A Payenneville, A Brunet, M Godlewski, B Mihout
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Abstract

A case of large arteriovenous aneurysm in the right upper lobe of a 27-year old man is reported. The pulmonary angioma was responsible for a 30% shunt with hypoxia and polycythaemia but was only discovered while looking for the origin of a cerebral abscess. A few weeks after surgical treatment of the cerebral abscess, the right upper lobe was excised with immediate correction of the hypoxia. This case shows that pulmonary angiomas can sometimes be revealed by neurological complications, and that visceral angiomas should not remain undiagnosed. They should be considered as part of a Rendu-Osler disease, the familial character of which may contribute to an early diagnosis.

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[肺动静脉动脉瘤]。
本文报告一27岁男性右上叶大动静脉动脉瘤病例。肺动脉血管瘤导致30%的分流伴缺氧和红细胞过多,但在寻找脑脓肿的起源时才被发现。手术治疗脑脓肿几周后,切除右上叶并立即纠正缺氧。这个病例表明肺血管瘤有时可以通过神经系统并发症显示出来,内脏血管瘤不应该一直被诊断出来。它们应被视为Rendu-Osler病的一部分,其家族性特征可能有助于早期诊断。
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