Poster électronique

Anévrysmes et pseudo anévrysmes de artères pulmonaires : du diagnostic au traitement
M. Labeyrie, D. Tolédano, R. Abdallah, R. Boutekadjirt, N. Dahbi, M. Auguste, AL. Brun, P. Cluzel - Paris - France
Congrès 2009
Résumé
Objectifs pédagogiques
Connaître la gamme diagnostique des anévrysmes et pseudoanévrysmes artériels pulmonaires. Savoir reconnaître leur participation au cours d’une hémoptysie.
Messages à retenir
Le bilan des anévrysmes et pseudo anévrysmes artériels pulmonaires est au mieux réalisé par un scanner thoracique multibarrette injecté. Les protocoles habituels d’injection utilisés pour les hémoptysies d’origine systémique sont le plus souvent suffisants. L’analyse des artères pulmonaires en MIP est très utile pour détecter les micro-anévrysmes. La gamme restreinte d’étiologie donne au scanner une spécificité diagnostique intéressante. Leur gravité n’est pas corrélée à leur taille et la détection de micro-anévrysmes dans les hémoptysies massives doit faire considérer une origine artérielle pulmonaire et guider la technique d’embolisation.
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