Hayashi Kazuki, Hanaoka Jun, Ohshio Yasuhiko, Hashimoto Masayuki
Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
Int J Surg Case Rep. 2016;28:139-141. doi: 10.1016/j.ijscr.2016.09.025. Epub 2016 Sep 22.
Pulmonary venous aneurysm (PVA) is a candidate for surgery because of the risk of rupture and continued growth even if the patient does not develop mitral valve disorders.
We report the case of PVA that continued to increase in size throughout a 17-year observational period.
The location and form of the aneurysm are important to consider when choosing the surgical approach. If the aneurysm forms a "glove balloon-like shape," lobectomy is necessary because end-to-end anastomosis is difficult to perform in such cases.
肺静脉瘤(PVA)即使患者未出现二尖瓣疾病,也因有破裂和持续生长的风险而成为手术候选对象。
我们报告一例在17年观察期内瘤体大小持续增加的PVA病例。
选择手术入路时,动脉瘤的位置和形态很重要。如果动脉瘤呈“手套气球样”形态,由于这种情况下难以进行端端吻合,因此需要进行肺叶切除术。