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肺切除术后肺动脉假性动脉瘤经弹簧圈栓塞成功治疗。

Pulmonary artery pseudoaneurysm after lung resection successfully treated by coil embolization.

作者信息

Matsumura Yuki, Shiono Satoshi, Saito Kiyohiro, Sato Toru

机构信息

Division of Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Sep;11(3):364-5. doi: 10.1510/icvts.2010.236661. Epub 2010 Jun 1.

Abstract

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.

摘要

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。

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