Maeda H, Kuroda O, Tani Y, Yamamoto S, Takeda M, Kawamura J, Nakano N, Inoue T, Arimitsu K, Imachi T
Department of Surgery, Ehime National Hospital.
Kyobu Geka. 1990 Aug;43(9):728-31.
A 64-year-old lung cancer patient combined with angina pectoris was admitted to our hospital. Chest roentgenogram showed a coin lesion in the left upper lobe. Broncho-fiberscopic examination proved adenocarcinoma. Coronary angiography revealed 90% stenosis of the left circumflex artery. Percutaneous transluminal coronary angioplasty (PTCA) was done and resulted in success. Eight days after PTCA, left upper lobectomy for lung cancer was undergone. Postoperative course was uneventful. Compared with coronary artery bypass grafting, PTCA was very useful for the patient having malignant disease combined with angina pectoris because of little surgical stress and no delay of operation.
一名64岁的肺癌合并心绞痛患者入住我院。胸部X线片显示左上叶有一个硬币大小的病灶。纤维支气管镜检查证实为腺癌。冠状动脉造影显示左旋支动脉狭窄90%。进行了经皮腔内冠状动脉成形术（PTCA）并取得成功。PTCA术后8天，进行了肺癌左上叶切除术。术后过程顺利。与冠状动脉旁路移植术相比，PTCA对患有恶性疾病合并心绞痛的患者非常有用，因为手术应激小且不延迟手术。
