Cui Li, Xu Xian-Rong, Chui Jian-Guo, Fu Zhao-Jun, Bi Yong-Ming, Wang Jian-Chang
Center of Clinical Aviation Medicine, General Hospital of PLAAir Force, Beijing, China.
Aviat Space Environ Med. 2012 Dec;83(12):1171-5. doi: 10.3357/asem.3261.2012.
Pulmonary sequestration is a rare congenital malformation. The diagnosis of pulmonary sequestration is based on the identification of an abnormal arterial supply. Conventional treatment for pulmonary sequestration is surgical removal of the tissue, which may induce serious trauma and requires a long recovery time. Recently, endovascular treatment has become feasible as a safer and less invasive method to treat pulmonary sequestration.
To the best of our knowledge, pulmonary sequestration has not been reported in pilots. In this study, we report a fighter pilot case of intralobar pulmonary sequestration detected with the assistance of spiral computed tomography (CT) and digital subtraction angiography. The young fighter pilot had experienced recurrent hemoptysis and pulmonary infections for approximately 10 yr before the pulmonary sequestration was diagnosed. We performed a transcatheter arterial embolization and a subsequent CT angiography confirmed complete infarction of the sequestration. After the treatment, no clinical complications were observed and the patient, with normal lung function restored, was qualified to serve as a fighter pilot again.
Compared with conventional removal surgery, endovascular treatment is a superior treatment for pulmonary sequestration in a fighter pilot in maintenance of pilot qualification.
肺隔离症是一种罕见的先天性畸形。肺隔离症的诊断基于异常动脉供血的识别。肺隔离症的传统治疗方法是手术切除组织，这可能会导致严重创伤且恢复时间长。近年来，血管内治疗已成为治疗肺隔离症的一种更安全、侵入性更小的可行方法。
据我们所知，尚未有飞行员患肺隔离症的报道。在本研究中，我们报告一例通过螺旋计算机断层扫描（CT）和数字减影血管造影检测到的叶内型肺隔离症的战斗机飞行员病例。这位年轻的战斗机飞行员在被诊断出肺隔离症之前，反复咯血和肺部感染约10年。我们进行了经导管动脉栓塞术，随后的CT血管造影证实隔离症完全梗死。治疗后，未观察到临床并发症，患者肺功能恢复正常，有资格再次担任战斗机飞行员。
与传统切除术相比，血管内治疗在维持飞行员资格方面是治疗战斗机飞行员肺隔离症的一种更优治疗方法。
