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Das Bronchialarterienaneurysma: Eine seltene Differenzialdiagnose der mediastinalen Raumforderung

Bronchial artery aneurysm: a rare differential diagnosis of a mediastinal tumor

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Zusammenfassung

Das Bronchialarterienaneurysma ist eine seltene, aber potenziell lebensbedrohliche Gefäßerkrankung. Die Diagnostik beinhaltet neben der Erfassung kardiopulmonaler Risikofaktoren eine kontrastmittelgestützte Computertomographie (CT) oder ggf. eine digitale Subtraktionsangiographie (DSA). Unabhängig von Auftreten, Art und Ausprägung der Symptome, sollte eine Therapie erfolgen. Dabei müssen die Vor- und Nachteile chirurgischer und endovaskulärer Therapieverfahren von Fall zu Fall abgewogen werden. Aufgrund beschriebener Rezidive, v. a. bei ausschließlich endovaskulär versorgten Patienten, müssen im weiteren Verlauf engmaschige Nachsorgen erfolgen.

Abstract

The mediastinal bronchial artery aneurysm is a rare but life-threatening vascular lesion and should be treated independently of the type of lesion and clinical symptoms. Diagnostic procedures should always include registration of cardiopulmonary risk factors, contrast-enhanced computed tomography scan and if applicable arterial angiography. Advantages and disadvantages of surgical and endovascular therapy have to be carefully recalculated for every patient individually. Due to described relapses, especially for patients treated exclusively by interventions, frequent follow-up examinations are strongly advised.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. P. Düppers, L. Sunder-Plassmann und H. Schelzig geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Gefäß- und Endovaskularchirurgie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland

    P. Düppers &  H. Schelzig

  2. Klinik für Allgemein Viszeral, Gefäß und Thoraxchirurgie, Klinikum Bogenhausen, München, Deutschland

    L. Sunder-Plassmann

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  1. P. Düppers
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  2. L. Sunder-Plassmann
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  3. H. Schelzig
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Correspondence to H. Schelzig.

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Düppers, P., Sunder-Plassmann, L. & Schelzig, H. Das Bronchialarterienaneurysma: Eine seltene Differenzialdiagnose der mediastinalen Raumforderung. Gefässchirurgie 19, 60–62 (2014). https://doi.org/10.1007/s00772-013-1254-1

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  • DOI: https://doi.org/10.1007/s00772-013-1254-1

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