Shibano Tomoki, Endo Shunsuke, Tetsuka Kenji, Saito Tsutomu, Kanai Nobuyuki, Yashiro Takashi
Department of General Thoracic Surgery, Cardiac Surgery, Pathology and Anatomy, Jichi Medical University, Yakushiji, Shimotsuke-shi, Tochigi 329-0498, Japan.
J Thorac Dis. 2015 Mar;7(3):E33-6. doi: 10.3978/j.issn.2072-1439.2015.02.15.
Aberrant pulmonary artery exposed by high-blood pressure over a long period in adult-type pulmonary sequestration can be susceptible to arteriosclerotic change and aneurysmal formation. Dividing this aneurysmal artery has a risk of stump leakage and aneurysm. We herein report a 64-year-old man with an aberrant aneurysm of intralobar pulmonary sequestration. Thoracoscopic resection of the sequestrated lung was performed uneventfully by prior endovascular occlusion of the aberrant aneurysm.
在成人型肺隔离症中，长期高血压暴露下的异常肺动脉易发生动脉硬化改变和动脉瘤形成。切断这条动脉瘤样动脉存在残端漏血和动脉瘤形成的风险。我们在此报告一名64岁男性，患有叶内型肺隔离症的异常动脉瘤。通过预先对异常动脉瘤进行血管内闭塞，顺利地进行了胸腔镜下隔离肺切除术。
