Flores R M, Murthy S, DeCamp M M
Division of Thoracic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Ann Thorac Surg. 2001 Jul;72(1):274-6. doi: 10.1016/s0003-4975(00)02561-3.
Contralateral pulmonary artery stenosis is a rare complication following pneumonectomy. When extensive intrapericardial dissection is warranted, one must be wary of this potential complication and take measures to avoid it. Postoperatively, a high index of suspicion must be maintained in a patient with a new onset of right-sided heart failure after intrapericardial pneumonectomy. We discuss intraoperative risk factors, postoperative clinical findings, and our strategy for repair.
对侧肺动脉狭窄是肺切除术后一种罕见的并发症。当需要进行广泛的心包内解剖时,必须警惕这种潜在的并发症并采取措施避免它。术后,对于心包内肺切除术后新发右侧心力衰竭的患者,必须保持高度怀疑。我们讨论术中危险因素、术后临床表现以及我们的修复策略。