[一例左锁骨下动脉动脉瘤破裂入左肺的病例报告]
[A left subclavian arterial aneurysm ruptured into the left lung--a case report].
作者信息
Iijima K, Kuribayashi R, Sakarada T, Sekine S, Aida H, Abe T
机构信息
Department of Cardiovascular Surgery, Akita University School of Medicine, Japan.
出版信息
Nihon Kyobu Geka Gakkai Zasshi. 1992 Mar;40(3):440-3.
A 68-year-old man complained bloody sputum. Angiography revealed the left subclavian arterial aneurysm that was arising from the origin of the left subclavian artery. The aneurysm was resected with the adhesive lung tissue through a left posterolateral thoracotomy in the third intercostal space, and an 8 mm EPTFE graft was implanted between the aortic arch and the left subclavian artery. The aneurysm was filled with old thrombus and it was ruptured into the left lung. The pathologic study showed typical atherosclerotic changes. Postoperative course was uneventful, and his bloody sputum disappeared.
一名68岁男性主诉咯血。血管造影显示左锁骨下动脉起始处有动脉瘤。通过左后外侧开胸，经第三肋间间隙切除动脉瘤及粘连的肺组织，并在主动脉弓与左锁骨下动脉之间植入8毫米的膨体聚四氟乙烯（EPTFE）移植物。动脉瘤内充满陈旧性血栓，且已破裂至左肺。病理研究显示典型的动脉粥样硬化改变。术后病程平稳，咯血消失。
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