Hayashi Saki, Moriya Makio, Kamesui Tadashi, Shimizu Junzo, Nagayoshi Toshiro, Nonomura Akitaka
Department of Surgery, Hokuriku Central Hospital, Oyabe, Japan.
Kyobu Geka. 2016 Jul;69(7):560-3.
A 76-year-old man was referred to our department for an abnormal shadow on a chest X-ray. Computed tomography showed an aberrant artery arising from the descending thoracic aorta to the basal segment of the left lung. The aberrant artery was dilated and tortuous, and its wall had remarkable calcifications. Bronchial branching to the basal segment of the left lung were normal. The diagnosis of anomalous systemic arterial supply to normal basal segment was established, and division of the aberrant artery and left lower lobectomy were performed successfully. His postoperative course was uneventful, and he was discharged on the 14th postoperative day. We describe herein a rare case of the elderly patient surgically treated for this disease along with a brief review of the literatures.
一名76岁男性因胸部X线片出现异常阴影而转诊至我科。计算机断层扫描显示一条异常动脉从胸降主动脉发出至左肺基底段。该异常动脉扩张且迂曲,其壁有明显钙化。左肺基底段的支气管分支正常。确诊为正常基底段的异常体动脉供血,并成功进行了异常动脉切断和左下肺叶切除术。他的术后过程顺利,术后第14天出院。我们在此描述了一名老年患者接受该疾病手术治疗的罕见病例,并对相关文献进行了简要回顾。