Takei Hidefumi, Suzuki Kenji, Asamura Hisao, Kondo Haruhiko, Tsuchiya Ryosuke
Thoracic Surgery Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
Surg Today. 2002;32(10):899-901. doi: 10.1007/s005950200176.
A rare case of the potentially grave combination of lung cancer and partial anomalous pulmonary venous connection (PAPVC) is described. PAPVC would cause many problems following major lung resection, even in a preoperatively asymptomatic patient, because of the inevitable development of right ventricular failure as a result of right ventricular volume overload caused by the left-to-right physiologic shunt. On the other hand, if a patient has primary lung cancer, anatomical resection should be done to achieve curative treatment. We successfully performed a left lower lobectomy for lung cancer in a patient with abnormal venous drainage in the left upper lobe, with simultaneous correction of a PAPVC.
本文描述了一例罕见的肺癌合并部分肺静脉异位连接（PAPVC）的严重病例。即使术前无症状，PAPVC在肺大部切除术后也会引发诸多问题，这是由于左向右生理性分流导致右心室容量负荷过重，进而不可避免地发展为右心室衰竭。另一方面，如果患者患有原发性肺癌，则应进行解剖性切除以实现根治性治疗。我们成功地为一名左上叶静脉引流异常的肺癌患者实施了左下叶切除术，同时纠正了PAPVC。
