Matsumura Yuki, Shiono Satoshi, Saito Kiyohiro, Sato Toru
Division of Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Interact Cardiovasc Thorac Surg. 2010 Sep;11(3):364-5. doi: 10.1510/icvts.2010.236661. Epub 2010 Jun 1.
A 60-year-old man complaining of pyrexia and hemoptysis was diagnosed with a squamous cell carcinoma in his right lung. He underwent a right lower lobectomy with lymph node dissection. Following chest tube removal, he suffered from pyrexia and hemoptysis necessitating CT-scans which detected a pulmonary artery pseudoaneurysm (PAP). An emergent pulmonary arteriography was performed and the PAP was embolized with microcoils. After six years of follow-up, he has been free from recurrence of both the PAP and lung cancer. PAPs represent a rare, but life-threatening condition. Because of their risk of rupture, emergent intervention is necessary. In the past, PAPs were treated with open repair, but recent advances in endovascular surgery have allowed for a less invasive treatment. In this report, we describe an extremely rare case of PAP after lobectomy for lung cancer that was successfully treated by coil embolization.
一名60岁男性,因发热和咯血就诊,被诊断为右肺鳞状细胞癌。他接受了右下肺叶切除术及淋巴结清扫术。拔除胸管后,他再次出现发热和咯血,因此进行了CT扫描,结果发现了肺动脉假性动脉瘤(PAP)。随后进行了急诊肺动脉造影,并使用微线圈对PAP进行了栓塞。经过六年的随访,他的PAP和肺癌均未复发。PAP是一种罕见但危及生命的疾病。由于其有破裂风险,因此需要进行紧急干预。过去,PAP采用开放修复治疗,但血管内手术的最新进展使得治疗方式创伤性更小。在本报告中,我们描述了一例肺癌肺叶切除术后极为罕见的PAP病例,该病例通过线圈栓塞成功治愈。