肺隔离症合并主动脉瘤的杂交手术治疗。
Hybrid surgery for intralobar pulmonary sequestration with aortic aneurysm.
机构信息
Department of Cardiovascular Surgery, St. Luke's International Hospital, Tokyo, Japan.
Department of Thoracic Surgery, Kumamoto University Hospital, Kumamoto, Japan.
出版信息
Ann Thorac Surg. 2014 Jul;98(1):e11-3. doi: 10.1016/j.athoracsur.2014.04.054.
A 62-year-old man with past history of chronic atrial fibrillation, congestive heart failure, and pneumonia was referred to our hospital for further workup of pulmonary sequestration. Enhanced computed tomography revealed intralobar pulmonary sequestration (IPS) of the lower left lobe, as well as aortic aneurysmal dilation at the origin of the aberrant feeding artery. We performed a hybrid operation consisting of thoracic endovascular aortic repair and excision of the IPS and left lower lobe by video-assisted thoracic surgery. The patient was discharged 5 days later without complications.
一位 62 岁男性，既往有慢性心房颤动、充血性心力衰竭和肺炎病史，因肺隔离症的进一步检查而被转至我院。增强计算机断层扫描显示左下叶肺隔离症（IPS），以及异常供血动脉起源处的主动脉瘤样扩张。我们进行了杂交手术，包括胸主动脉腔内修复术和电视辅助胸腔镜手术切除 IPS 和左下叶。患者术后 5 天出院，无并发症。
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