Yamaguchi A, Mizuhara A, Ide H, Ino T, Kohiyama R, Bandai K, Miyamoto H
Department of Thoracic and Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School.
Kyobu Geka. 1992 May;45(5):459-62.
A case of 76-year-old man had a coin lesion in the chest roentgenogram, which rapidly grew with central necrosis, and chest pain at rest. Squamous cell carcinoma was concluded from transbronchial lung biopsy for that lesion. Coronary angiography revealed long segment occlusion of the left anterior descending which was not a candidate for percutaneous transluminal coronary angioplasty and 90% stenosis of the left circumflex coronary artery. Aorto-coronary bypass grafting and right upper lobectomy via midsternotomy, was simultaneously performed. the postoperative course was fair and there was no cardiac complication. A simultaneous operation is more preferable in selected cases.
一名76岁男性患者胸部X线检查发现有硬币状病灶，该病灶迅速增大并伴有中央坏死，且患者静息时胸痛。经支气管肺活检确诊该病灶为鳞状细胞癌。冠状动脉造影显示左前降支长段闭塞，不适合行经皮冠状动脉腔内血管成形术，左旋支冠状动脉狭窄90%。通过正中胸骨切开术同时进行了主动脉冠状动脉搭桥术和右上叶切除术。术后过程顺利，无心脏并发症。在某些特定病例中，同时进行手术更为可取。
