Thoracic Surgery Service, Pavilhão Pereira Filho, Brazil.
J Thorac Imaging. 2010 Feb;25(1):W4-5. doi: 10.1097/RTI.0b013e3181981b40.
We present the case of a 54-year-old patient who presented to our institution 4 months after refusing surgical treatment for a right upper lobe cavitary carcinoma. Weight loss, hemoptysis, and worsening pulsatile chest pain were the complaints. Radiologic restaging surprisingly revealed a large pulmonary artery pseudoaneurysm occupying the whole cavity area. A right pneumonectomy with intrapericardial pulmonary artery ligation was performed. Previous cases are extremely rare and differ from ours as patients presented with advanced lung cancer and thus, were not treated with resection, but with coil embolization.
我们报告了一例 54 岁患者的病例，该患者在拒绝右上叶空洞型癌的手术治疗 4 个月后就诊于我院。其主要症状为体重减轻、咯血和搏动性胸痛加重。影像学复查令人惊讶地显示，一个大的肺动脉假性动脉瘤占据了整个腔隙区域。我们对患者实施了右全肺切除术，并进行了心包内肺动脉结扎术。既往的病例极为罕见，与我们的病例不同，既往患者表现为晚期肺癌，因此未进行手术切除，而是采用了线圈栓塞治疗。
