Shapiro M, Bittermann C, Flores R M
Division of Thoracic Surgery, Mount Sinai Medical Center, New York, New York, United States.
Thorac Cardiovasc Surg. 2014 Apr;62(3):255-7; discussion 257. doi: 10.1055/s-0032-1328926. Epub 2013 Jan 23.
This is a case report on a 26-year-old woman with metastatic mandibular osteosarcoma to the lung. A video-assisted thorascopic surgery (VATS) completion left upper lobe lobectomy was attempted, but was converted to a thoracotomy when anomalous pulmonary vein drainage (APVD) was identified. There were no other anomalies found and the lobectomy was completed as planned. To our knowledge, this is the first reported case of an attempted VATS lobectomy for patients with APVD. This case demonstrates that APVD tends not to be associated with any other anatomic abnormalities in the lung and should not be a contraindication for VATS lobectomy.
这是一篇关于一名26岁女性下颌骨肉瘤转移至肺部的病例报告。尝试进行了电视辅助胸腔镜手术（VATS）下的左上叶肺叶切除术，但在发现异常肺静脉引流（APVD）后转为开胸手术。未发现其他异常，肺叶切除术按计划完成。据我们所知，这是首例报道的针对APVD患者尝试进行VATS肺叶切除术的病例。该病例表明，APVD往往与肺部的任何其他解剖异常无关，不应成为VATS肺叶切除术的禁忌症。
