Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Ann Thorac Surg. 2010 Jul;90(1):302-3. doi: 10.1016/j.athoracsur.2009.12.028.
We report a patient with left apical lung carcinoma involving the left subclavian artery with the origin of the vertebral artery who had hypoplasia of the right vertebral artery and the bilateral posterior communicating arteries. After induction chemoradiotherapy, a vein graft was used to create a bypass between the left common carotid artery and the vertebral artery, followed by a successful left upper lobectomy with combined resection of the subclavian artery together with the left vertebral artery. Because anatomic variations of vertebral arteries and cerebral arterial circle are known, preoperative evaluation of the cerebral blood flow should be performed and a relevant reconstruction considered.
我们报告了一例左肺尖部肺癌累及左锁骨下动脉和椎动脉起源的病例，该患者存在右侧椎动脉和双侧后交通动脉发育不良。在诱导放化疗后，使用静脉移植物在左颈总动脉和椎动脉之间建立旁路，随后成功地进行了左上肺叶切除术，同时切除了锁骨下动脉和左椎动脉。由于已知椎动脉和脑动脉环的解剖变异，应进行术前脑血流评估并考虑相关重建。
