Kaneda Y, Fujita N, Ueda K, Saeki K, Sakano H, Sudo M, Tanaka T, Matsuoka T, Hayashi M, Zempo N, Esato K
Department of Surgery I, Yamaguchi University School of Medicine, Ube, Japan.
Surg Today. 2001;31(9):817-9. doi: 10.1007/s005950170055.
A 71-year-old man with primary lung cancer associated with Brugada syndrome was safely operated on following the placement of an implantable cardioverter defibrillator (ICD). During examinations for Brugada syndrome, a tumor in the apicoposterior segment of the left lung was incidentally detected by chest computed tomography. Following the implantation of an ICD, surgical treatment of the left lung tumor was scheduled. A lung biopsy was thoracoscopically performed and adenocarcinoma was diagnosed based on a frozen section analysis. A left upper lobectomy with lymph node dissection was performed through a standard posterolateral thoracotomy. Ventricular fibrillation, which occurred during the night of the first day following surgery, was successfully managed by the ICD.
一名患有原发性肺癌并伴有Brugada综合征的71岁男性，在植入植入式心脏复律除颤器（ICD）后安全接受了手术。在对Brugada综合征进行检查期间，胸部计算机断层扫描偶然发现左肺尖后段有一个肿瘤。植入ICD后，计划对左肺肿瘤进行手术治疗。通过胸腔镜进行了肺活检，并根据冰冻切片分析诊断为腺癌。通过标准后外侧开胸术进行了左上叶切除及淋巴结清扫。术后第一天夜间发生的心室颤动，由ICD成功处理。
