Детская хирургия. Журнал им. Ю.Ф. Исакова. 2022; 26: 51-57
Системное артериальное кровоснабжение в спектре бронхолёгочных сосудистых мальформаций
https://doi.org/10.55308/1560-9510-2022-26-1-51-57Аннотация
Введение. Врождённые бронхолёгочные сосудистые мальформации включают широкий спектр нарушений в трёх основных компонентах лёгких: дыхательных путях и паренхиме, артериях и венах. Пороки развития всех основных компонентов тканей лёгкого: артериального кровоснабжения, венозного оттока и дыхательных путей могут представлять собой варианты единого первичного комплекса лёгочно-сосудистых аномалий.
Описание наблюдения. Представлено клиническое наблюдение, которое демонстрирует чрезвычайно интересную смешанную бронхоартериовенозную мальформацию, затрагивающую лёгочные дыхательные пути, лёгочную артерию и лёгочную вену. В диагностике использованы различные инструментальные методы, ключевым из которых явилась компьютерная томография с внутривенным контрастированием.
Заключение. В обсуждении рассмотрен широкий спектр патологических изменений, наблюдаемых в данном клиническом случае, терминология, проанализирован характер каждого компонента.
Список литературы
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19. Wani S.A., Mufti G.N., Bhat N.A., et al. Pulmonary sequestration: early diagnosis and management. Case Reports in Pediatrics. 2015; 2015: 1–2. https://doi.org/10.1155/2015/454860
20. Wei Y., Li F. Pulmonary sequestration: a literature review of 2625 cases. Chin J Gen Pract. 2010; 9(10): 714–5. https://doi.org/10.1016/j.ejcts.2011.01.080
21. Pooja Abbey, Mahender K. Narula, Rama Anand. Congenital Malformations and developmental anomalies of the lung. Radiology. 2008; 247(3): 632–48. https://doi.org/10.1148/radiol.2473062124
22. Biyyam D.R., Chapman T., Ferguson M.R., Deutsch G., Dighe M.K. Congenital lung abnormalities: embryologic features, prenatal diagnosis and postanatal radiologic-pathologic correlation. Pediatr Imaging. 2010; 30(6): 1721–38. https://doi.org/10.1148/rg.306105508
23. Гребнев П.Н., Осипов А.Ю. Диагностика и хирургическое лечение секвестрации лёгких у детей. Практическая медицина. 2010; 6: 141–3. Grebnev P.N., Osipov A.Yu. Diagnosis and surgical treatment of lung sequestration in children. Practical medicine. 2010; 6: 141–3. (in Russian)
24. Woodring J.H., Howard T.A., Kanga J.F. Congenital pulmonary venolobar syndrome revisited. Radiographics. 1994; 14: 319–69. https://doi.org/10.1148/radiographics.14.2.8190958
25. Savic B., Birtel F.J., Tholen W., Funke H.D., Knoche R. Lung sequestration: report of seven cases and review of 540 published cases. Thorax. 1979; 34: 96–101. https://doi.org/10.1136/thx.34.1.96
26. Frush D.P., Donnelly L.E. Pulmonary sequestration spectrum: a new spin with helical CT. AJR. 1997; 169: 679–82. https://doi.org/10.2214/ajr.169.3.9275876
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Russian Journal of Pediatric Surgery. 2022; 26: 51-57
Systemic arterial blood supply in the spectrum of bronchopulmonary vascular malformations
https://doi.org/10.55308/1560-9510-2022-26-1-51-57Abstract
Introduction. Congenital bronchopulmonary vascular malformations manifest a wide range of disorders in the three main components of the lungs: respiratory tract and lung parenchyma, arteries and veins. Malformations of all the main components of lung tissues, namely, arterial blood supply, venous outflow and respiratory tract - may be variants of a single primary complex of pulmonaryvascular anomalies.
Observation. A described clinical case demonstrates an extremely interesting mixed bronchoarteriovenous malformation affecting the pulmonary respiratory tract, pulmonary artery and pulmonary vein. Various instrumental techniques were used for the diagnostics, the key of which was computed tomography with intravenous contrast.
Conclusion. The article presents a wide range of pathological changes observed in this clinical case; it also analyzes the nature of each component and terminology.
References
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2. Lee M.L., Lue H.Ch., Chiu .Sh., Chiu H.Y., Tsao L.Y., Cheng Ch.Y., et al. A Systematic Classification of the Congenital Bronchopulmonary Vascular Malformations: Dysmorphogeneses of the Primitive Foregut System and the Primitive Aortic Arch System. Yonsei Med J. 2008; 49(1): 90–102. https://doi.org/10.3349/ymj.2008.49.1.90
3. Kostyukov K.V., Demidov V.N., Mashinets N.V., Gus A.I. Redkii sluchai prenatal'noi diagnostiki vrozhdennoi diafragmal'noi gryzhi v sochetanii s legochnym sekvestrom u ploda (obzor literatury i sobstvennoe nablyudenie). Ul'trazvukovaya i funktsional'naya diagnostika. 2016; 1: 40–4. Kostyukov K.V., Demidov V.N., Mashinec N.V., Gus A.I. Prenatal diagnosis of congenital diaphragmatic hernia combined with pulmonary sequestration (literature review and case report). Ultrazvukovaya Funkchionalnaya Diagnostuka. 2016; 1: 40–4. (in Russian)
4. Razumovskii A.Yu., Mokrushina O.G., Alkhasov A.B., Mitupov Z.B., Kulikova N.V., Stepanenko N.S. Torakoskopicheskie rezektsii legkikh u detei. Khirurgiya. Zhurnal im. N.I. Pirogova. 2015; (8): 39–44. Razumovsky A.Yu., Mokrushina O.G., Alkhasov A.B., Mitupov Z.B., Kulikova N.V., Stepanenko N.S. Thoracoscopic lung resection in children. Khirurgiya. Znurnal im. N.I. Pirogova. 2015; (8): 39–44. https://doi.org/10.17116/hirurgia20158239-44 (in Russian)
5. Irodi A., Prabhu S.M., John R.A., Leena R.V. Congenital bronchopulmonary vascular malformations, «sequestration» and beyond. Indian J Radiol Imaging. 2015; 25: 35–43. https://doi.org/10.4103/0971-3026.150138
6. Panicek D.M., Heitzman E.R., Randall P.A., Groskin S.A., Chew F.S., Lane E.J., Markarian B. The continuum of pulmonary developmental anomalies. Radiographics. 1987; 7: 747–72. https://doi.org/10.1148/radiographics.7.4.3448653
7. Le Thuong Vu, Nguyen Minh Duc, Thieu-Thi Tra My, Le Tuan Linh, Mai Tan Lien Bang. Two rare cases of horseshoe lung with scimitar syndrome in Vietnam. Respiratory Medicine Case Reports. 2021; 32 (3): 101357. https://doi.org/10.1016/j.rmcr.2021.101357
8. Rajeshkannan R., Moorthy S., Sreekumar K. P., Ramachandran P.V., Kumar R.K., Remadevi K.S. Role of 64-MDCT in evaluation of pulmonary atresia with ventricular septal defect. AJR. 2010; 194: 110–8. https://doi.org/10.2214/AJR.09.2802
9. Tchervenkov C.I., Roy N. Congenital Heart Surgery Nomenclature and Database Project: pulmonary atresia – ventricular septal defect. Ann Thorac Surg. 2000; 69: 97–105. https://doi.org/10.1016/s0003-4975(99)01285-0
10. Singh A.S., Subbain S.K., Subramanian K.G., Agarwal R., Dave D.J., Kulkarni S., et al. Pseudosequestration of the Left Lung. Tex Heart Inst J. 2007; 34(2): 195–8.
11. Goodman L.R., Jamshidi A., Hipona F.A. Meandering right pulmonary vein simulating the Scimitar syndrome. Chest. 1972; 62: 510–2. https://doi.org/10.1378/chest.62.4.510
12. Odenthal C., Sarikwal A. Anomalous unilateral single pulmonary vein versus scimitar syndrome: comparison of two paediatric cases and a review of the literature. J Med Imaging Radiat Oncol. 2012; 56: 247–54. https://doi.org/10.1111/j.1754-9485.2012.02385.x
13. Tyrak K.W., Holda J., Holda M.K., Koziej M., Piatek K., KlimekPiotrowska W. Persistent left superior vena cava. Cardiovasc J Afr. 2017; 28(3): 1–4. https://doi.org/10.5830/CVJA-2016-084
14. Savu C., Petreanu C., Melinte A., et al. Persistent Left Superior Vena Cava – Accidental Finding. In Vivo. 2020; 34(2): 935–41. https://doi.org/10.21873/invivo.11861
15. Mlynarski R., Mlynarska A., Sosnowski M. Coronary venous system in cardiac computer tomography: Visualization, classification and role. World J Radiol. 2014; 6(7): 399–408. https://doi.org/10.4329/wjr.v6.i7.399
16. Felker R.E., Tonkin I.L. Imaging of pulmonary sequestration. Am J Roentgenol. 1990; 154: 241–9.
17. Krivosheenko N.V., Gramzin A.V., Pavlushin P.M. i soavt. Poddiafragmal'naya ekstralobarnaya sekvestratsiya legkogo v kombinatsii s duplikatsionnoi kistoi zheludka u novorozhdennogo. Rossiiskii vestnik detskoi khirurgii, anesteziologii i reanimatologii. 2020; 10(1): 95–102. https://doi.org/10.17816/psaic601 Krivosheenko N.V., Gramzin A.V., Pavlushin P.M., Manakova Ya.L., Shpak L.M., Koinov Yu.Yu., Chikinev Yu.V. Infradiaphragmatic extralobar pulmonary sequestration asossiated with duplication cyst of the gaster in newborn. Rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii. 2020; 10(1): 95–102. (in Russian)
18. Arjun P., Palangadan S., Haque A., Ramachandran R. Intralobar sequestration. Lung India. 2017; 34: 559–61. https://doi.org/10.4103/lungindia.lungindia_51_17
19. Wani S.A., Mufti G.N., Bhat N.A., et al. Pulmonary sequestration: early diagnosis and management. Case Reports in Pediatrics. 2015; 2015: 1–2. https://doi.org/10.1155/2015/454860
20. Wei Y., Li F. Pulmonary sequestration: a literature review of 2625 cases. Chin J Gen Pract. 2010; 9(10): 714–5. https://doi.org/10.1016/j.ejcts.2011.01.080
21. Pooja Abbey, Mahender K. Narula, Rama Anand. Congenital Malformations and developmental anomalies of the lung. Radiology. 2008; 247(3): 632–48. https://doi.org/10.1148/radiol.2473062124
22. Biyyam D.R., Chapman T., Ferguson M.R., Deutsch G., Dighe M.K. Congenital lung abnormalities: embryologic features, prenatal diagnosis and postanatal radiologic-pathologic correlation. Pediatr Imaging. 2010; 30(6): 1721–38. https://doi.org/10.1148/rg.306105508
23. Grebnev P.N., Osipov A.Yu. Diagnostika i khirurgicheskoe lechenie sekvestratsii legkikh u detei. Prakticheskaya meditsina. 2010; 6: 141–3. Grebnev P.N., Osipov A.Yu. Diagnosis and surgical treatment of lung sequestration in children. Practical medicine. 2010; 6: 141–3. (in Russian)
24. Woodring J.H., Howard T.A., Kanga J.F. Congenital pulmonary venolobar syndrome revisited. Radiographics. 1994; 14: 319–69. https://doi.org/10.1148/radiographics.14.2.8190958
25. Savic B., Birtel F.J., Tholen W., Funke H.D., Knoche R. Lung sequestration: report of seven cases and review of 540 published cases. Thorax. 1979; 34: 96–101. https://doi.org/10.1136/thx.34.1.96
26. Frush D.P., Donnelly L.E. Pulmonary sequestration spectrum: a new spin with helical CT. AJR. 1997; 169: 679–82. https://doi.org/10.2214/ajr.169.3.9275876
27. Bush A. Congenital lung disease: a plea for clear thinking and clear nomenclature. Pediatr Pulmonol. 2001; 32: 328–37. https://doi.org/10.1002/ppul.1126
