胸主动脉弓动脉瘤合并左肺癌一期手术：1例报告
One-stage operation for thoracic aortic arch aneurysm and left lung carcinoma: a case report.
作者信息
Makino Takashi, Kawada Kota, Masuhara Hiroshi, Hata Yoshinobu, Otsuka Hajime, Koezuka Satoshi, Tochigi Naobumi, Shibuya Kazutoshi, Watanabe Yoshinori, Iyoda Akira
机构信息
Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan.
Division of Cardiovascular Surgery, Toho University School of Medicine, Tokyo, Japan.
出版信息
J Cardiothorac Surg. 2016 Apr 11;11(1):51. doi: 10.1186/s13019-016-0440-0.
BACKGROUND
The simultaneous surgical treatment of thoracic aortic arch aneurysm (TAA) and lung carcinoma is extremely rare.
CASE PRESENTATION
We report the simultaneous surgical treatment of TAA and squamous cell carcinoma of the lung in a 72-year-old Japanese man. We performed a one-stage operation that consisted of aortic arch replacement for aortic arch aneurysm with a 3-branched artificial vessel under separate cerebral and systemic extracorporeal circulation, and left upper lobectomy for lung cancer via a left lateral thoracotomy.
CONCLUSIONS
Although patients should be carefully selected for this procedure, the simultaneous surgical treatment of TAA and lung carcinoma can be performed safely.
背景
同时进行胸主动脉弓动脉瘤（TAA）和肺癌的手术治疗极为罕见。
病例报告
我们报告了一名72岁日本男性同时接受TAA和肺鳞状细胞癌的手术治疗情况。我们进行了一期手术，包括在体外循环下，采用三分支人工血管行主动脉弓置换术治疗主动脉弓动脉瘤，同时通过左外侧开胸行左上肺叶切除术治疗肺癌。
结论
尽管对于该手术应谨慎选择患者，但TAA和肺癌的同时手术治疗可以安全进行。
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