Hu Huali, Liu Wenliang, Tang Jingqun, Xiong Wei, Yu Fenglei
Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Ann Thorac Surg. 2015;99(5):e107-9. doi: 10.1016/j.athoracsur.2015.02.002.
Congenital arteriovenous fistula complicated by arteriovenous aneurysm is very rare. We report a case of a 23-year-old man diagnosed with an asymptomatic congenital aorto-azygous fistula complicated by an arteriovenous aneurysm. Video-assisted thoracoscopic surgery (VATS) was successfully performed to resect the abnormal feeding artery and ligate the draining azygos vein. There were no postoperative complications, and late follow-up showed a satisfactory outcome. Our experience indicates that VATS is a safe and appropriate option to treat this kind of vascular malformation.
先天性动静脉瘘合并动静脉瘤非常罕见。我们报告一例23岁男性患者，诊断为无症状先天性主动脉-奇静脉瘘合并动静脉瘤。通过电视辅助胸腔镜手术（VATS）成功切除异常供血动脉并结扎引流的奇静脉。术后无并发症，后期随访结果满意。我们的经验表明，VATS是治疗这类血管畸形的一种安全且合适的选择。
