ABSTRACT
An anomalous systemic pulmonary supply may be acquired and present only one symptom: hemoptysis. The incidence of this pathology is unknown. A case of acquired systemic pulmonary arterialization was observed after surgical intervention of myocardium vascularization with the left mammary artery. The diagnosis was obtained through an arteriography of the left mammary artery. In this case, the therapy consists in ablating the affected parenchyma followed by the interposition of a bovine pericardium patch between the mammary artery and the remaining pulmonary tissue.
Subject(s)
Hemoptysis/etiology , Internal Mammary-Coronary Artery Anastomosis/adverse effects , Lung/blood supply , Angiography , Animals , Cattle , Follow-Up Studies , Humans , Lung/surgery , Male , Mammary Arteries/diagnostic imaging , Middle Aged , Pericardium/surgery , Pericardium/transplantation , Pulmonary Artery/diagnostic imaging , Time FactorsABSTRACT
A case of serious haemorragic shock caused by the rupture into the duodenum of a septic aneurysm of the pancreatic-duodenal artery is reported. The diagnostic difficulties and the need to carry on "blind" laparotomies, in these cases, are underlined.