INTERCAT-Interventional Cardiology, Rio de Janeiro, Brazil; Samaritano Hospital, Rio de Janeiro, Brazil.
Catheter Cardiovasc Interv. 2014 Feb;83(2):315-8. doi: 10.1002/ccd.25029. Epub 2013 Jun 13.
We report on a 57-year-old patient suffering from advanced squamous cell carcinoma of the left lung, ultimately submitted to intrapericardial left pneumonectomy with hilar and mediastinal lymphadenectomy. Imaging examination showed a left bronchopleural fistula that needed to be occluded. Due to the patient's high surgical risk, endobronchial closure with intracardiac device was performed. The ASD CERA™ device (Lifetech Schenzhen, China) was chosen. The procedure was successful and the patient was discharge from the hospital 5 days thereafter. Endobronchial closure of bronchopleural fistulas with intracardiac devices is feasible and may become an excellent option for those very ill patients.
我们报告了一例 57 岁的患者,患有左侧肺癌晚期,最终行心包内左全肺切除术及纵隔淋巴结清扫术。影像学检查显示存在左侧支气管胸膜瘘,需要进行封堵。由于患者的手术风险较高,采用了经支气管腔内心脏内装置进行腔内闭合。选择了 ASD CERA™ 装置(中国深圳 lifetech)。该操作成功,患者在 5 天后出院。经支气管腔内心脏内装置对支气管胸膜瘘进行腔内闭合是可行的,对于那些非常病重的患者可能成为一个极好的选择。