经多排螺旋计算机断层扫描术前评估后，通过电视辅助胸腔镜手术切除奇静脉动脉瘤。
An azygos vein aneurysm resected by video-assisted thoracic surgery after preoperative evaluation of multidetector computed tomography.
作者信息
Ueda Yuichiro, Tokuno Junko, Shoji Tsuyoshi, Huang Cheng-long
机构信息
Department of Thoracic Surgery, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka, Japan.
出版信息
Interact Cardiovasc Thorac Surg. 2014 Jan;18(1):135-6. doi: 10.1093/icvts/ivt436. Epub 2013 Oct 2.
Azygos vein aneurysm is very rare and most cases are detected incidentally. We report a safe resection of azygos vein aneurysm by video-assisted thoracoscopic surgery (VATS) under preoperative evaluation of thrombus by multidetector computed tomography (MDCT). A 60-year old woman presented to our department due to a mediastinal mass revealed by enhanced CT. A dynamic enhanced-CT scan showed a dilated azygos vein with great enhancement in the early phase. Under the diagnosis of azygos vein aneurysm, we analysed the aneurysm by MDCT and confirmed that there was no thrombus within the aneurysm. The resection of the aneurysm by VATS was performed safely. She was discharged 4 days after surgery.
奇静脉动脉瘤非常罕见，大多数病例是偶然发现的。我们报告了一例通过多排螺旋计算机断层扫描（MDCT）在术前评估血栓的情况下，经电视辅助胸腔镜手术（VATS）安全切除奇静脉动脉瘤的病例。一名60岁女性因增强CT显示纵隔肿块而就诊于我院。动态增强CT扫描显示奇静脉扩张，早期强化明显。在诊断为奇静脉动脉瘤后，我们通过MDCT分析了动脉瘤，证实动脉瘤内无血栓。通过VATS安全地切除了动脉瘤。患者术后4天出院。
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