用于手术切除侵犯主动脉弓的肺癌的血管内支架移植物：一名79岁患者的报告。
Endovascular stent graft for surgical resection of lung cancer invading aortic arch: report of a 79-year-old patient.
作者信息
Otani Shinichi, Tsubochi Hiroyoshi, Endo Shunsuke, Yuri Koichi
机构信息
Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
出版信息
J Vis Surg. 2016 Jan 27;2:20. doi: 10.3978/j.issn.2221-2965.2016.01.02. eCollection 2016.
Abstract
Combined resection of the aortic arch and lung with cardiopulmonary bypass (CPB) in patients with locally advanced lung cancer is associated with high morbidity and mortality. Aortic stenting followed by complete resection might be an alternative therapeutic strategy for patients with lung cancer. Here we report a 79-year-old man with respiratory compromise who had lung cancer invading the distal aortic arch. This case study reports that combined resection of the aortic arch with left upper segmentectomy following endovascular stenting can be safely and easily performed without CPB.
摘要
对于局部晚期肺癌患者，在体外循环（CPB）下联合切除主动脉弓和肺与高发病率和死亡率相关。先行主动脉支架置入术然后进行完全切除可能是肺癌患者的一种替代治疗策略。在此，我们报告一名79岁呼吸功能不全的男性，其肺癌侵犯了主动脉弓远端。本病例研究报告了在血管内支架置入术后，无需CPB即可安全、轻松地联合切除主动脉弓和左肺上叶。
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