Morgan Jeffrey A, Paone Gaetano
Division of Cardiothoracic Surgery, Heart and Vascular Institute, Henry Ford Hospital, Detroit, Michigan 48202, USA.
J Card Surg. 2013 Jul;28(4):436-8. doi: 10.1111/jocs.12115. Epub 2013 May 15.
This is a case of an 18-year-old male who presented with hip pain, shortness of breath, and respiratory failure and was found to have a large saddle pulmonary embolus involving the pulmonary artery bifurcation, which extended into the main right and left pulmonary arteries, as well as the lobar branches bilaterally. The patient was taken to the operating room for an emergent pulmonary embolectomy where a significant amount of tumor was removed through an incision in the main pulmonary artery with pathology consistent with metastatic chondrosarcoma.
这是一例18岁男性患者,表现为髋部疼痛、呼吸急促和呼吸衰竭,检查发现有一个巨大的鞍状肺栓塞累及肺动脉分叉处,延伸至左右主肺动脉以及双侧肺叶分支。患者被送往手术室进行急诊肺栓子切除术,术中通过主肺动脉切口切除了大量肿瘤,病理检查结果符合转移性软骨肉瘤。