1/10. Localized bronchiectasis is a definite association of coronaro-bronchial artery fistula.An 81-year-old smoker presented with acute coronary syndrome. coronary angiography revealed severe double-vessel disease, as well as the incidental finding of a coronaro-bronchial artery fistula that arose from the left circumflex artery. percutaneous coronary intervention was performed on the culprit lesion in the left anterior descending artery. A subsequent high-resolution computed tomography of the thorax revealed mild bronchiectic change in the corresponding area supplied by the coronaro-bronchial artery fistula. The patient had a normal lung function test and never had any chest symptoms. From the literature, the association of the coronaro-bronchial artery fistula and localized bronchiectasis is very definite, but the pathophysiology is still controversial.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/10. Unilateral vascular plethora--a sign in advanced unilateral basal bronchiectasis.Unilateral basal bronchiectasis results in a regional high vascular pressure and the flow of blood is thereby diverted to the uninvolved portion of the lung through bronchopulmonary anastomoses. Unilateral plethora of the upper lobe vessels in significant basal bronchiectasis of the same lung constitutes an important additional sign in the recognition of bronchiectasis on the plain chest radiograph. attention is drawn to the fact that this will not occur if the adjacent lung is compromised by a related or unrelated disease process.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/10. Endoscopic observation of peripheral airway lesions.Peripheral airways of 2 mm or less in diameter were observed in 142 patients by means of an ultrathin bronchofiberscope measuring 1.8 mm in outside diameter. On the basis of the observed and photographed endoscopic findings, an endoscopic classification of peripheral airway lesions was proposed. The endoscopic findings showed changes in the bronchial wall consisting of reddening, pallor, absence of mucosal luster, edema, engorgement of blood vessels, irregular mucosal surface, and elevated mucosa. In the lumen, stenosis, obstruction, ectasis, and deformation due to pressure were recognized, in addition to excessive secretion and pigmentation as morphologic abnormalities or abnormal findings at bifurcation.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
4/10. Roentgenographic and clinical signs in yellow nail syndrome.The yellow nail syndrome is a rare condition consisting of thickened opaque yellow nails, lymphedema and respiratory symptoms such as bronchitis or pleural effusions. In a 25-year-old woman, presenting all clinical signs of this syndrome, lymphangiography revealed impaired lymphdrainage of both legs. Both, number and size of the lymph vessels and regional lymph nodes were found to be reduced and several extravasations of the contrast medium were noted. Lymphangiography may help to establish the diagnosis of yellow nail syndrome, especially if the assocation of clinical anomalies is incomplete.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
5/10. Systemic amyloidosis and hypogammaglobulinemia.Small deposits of amyloid were found at autopsy in the kidneys, liver, spleen, and blood vessels of the intestines of a patient known to have primary acquired hypogammaglobulinemia. Previously described cases of hypogammaglobulinemia-associated amyloid are reviewed and possible pathogenetic mechanisms are discussed. The pathogenesis of amyloidosis in this patient is not known.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
6/10. Amyloid vascular disease and contracted kidneys--report of a case with review of literature.A case of systemic amyloidosis associated with bronchiectasis is presented. At necropsy, contracted kidneys and centrilobular necrosis of the liver were observed. Systemic blood vessels had heavy deposition of amyloid, and the possibility of visceral ischemia and the development of contracted kidneys due to amyloid vascular disease as a pathogenetic relationship, was discussed against the background of a review of the literature.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/10. Cutaneous vasculitis and immune complexes in severe bronchiectasis.Four patients with severe bronchiectasis (chronic bronchial suppuration) are described who developed cutaneous lesions associated with exacerbations of their respiratory disease. The skin abnormalities consisted of purpuric lesions in three patients and an erythematous vasculitis in one. Circulating immune complexes were present in all patients and in three skin biopsy specimens showed deposition of C3, IgG, and IgA in dermal blood vessels. haemophilus influenzae had been isolated from the sputum of all four patients and in two patients was present at the time the cutaneous lesions appeared. It is suggested that local immune complex deposition was responsible for the skin lesions which occurred during acute exacerbations of bronchiectasis.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
8/10. Computed tomography of bronchiectasis.Computed tomography (CT) was performed on six patients with bronchiectasis. In two cases of advanced cystic bronchiectasis, the diagnosis was apparent on plain chest roentgenograms. In four cases, bronciectasis was initially diagnosed by CT and later confirmed by bronchography. The CT signs of bronchiectasis include air--fluid levels in distended bronchi, a linear array or cluster of cysts, dilated bronchi in the periphery of the lung, and bronchial wall thickening due to peribronchial fibrosis. Distended bronchi must be distinguished from emphysematous blebs, which generally have no definable wall thickness and no accompanying vessels. It is concluded that CT should have a role in establishing the presence and anatomic extent of bronchiectasis.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
9/10. A pathological study following bronchial artery embolization for haemoptysis in cystic fibrosis.A detailed post-mortem study is reported on an adult with cystic fibrosis who died in respiratory failure three weeks after selective bronchial artery embolization with gelatin sponge to treat severe haemoptysis. Bronchial arteriography during the procedure showed complete occlusion of the vessel supplying the righ upper lobe and following this the bleeding stopped. However, post-mortem angiography of the same vessel demonstrated disappearance of much of the injected material with contrast bypassing the remaining gelatin to fill the peripheral bronchial arterial bed. This report therefore adds pathological evidence to previous clinical reports which have suggested that this procedure may not produce permanent occlusion of the embolised bronchial artery.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
10/10. Systemic to pulmonary artery shunting.Two cases showing systemic to pulmonary artery shunting, during the venous phase of bronchial arteriography are presented. In the first patient with chronic bronchiectasis, the shunting is believed to be due to newly formed vessels in the granulomatous tissue. At pulmonary angiography, the increased pressure in the pulmonary arteries simulated an angiographic defect due to dilution of the contrast by retrograde opacification from a left to right shunt. In a second patient with proven pulmonary embolism a true defect was present at pulmonary angiography. Systemic to pulmonary artery shunting is believed to develop secondary to hypoxia.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
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