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杂交手术治疗以腹主动脉为供血血管的肺隔离症:一例报告

Hybrid surgery in treatment of pulmonary sequestration with abdominal aorta feeding vessel: a case report.

作者信息

Zhou Haining, Tang Shoujun, Fu Quanshui, Yu Li, Liu Lunxu

机构信息

Department of Thoracic surgery, West China Hospital, Sichuan University, Chengdu, 610000, China.

Department of Thoracic surgery, Suining Central Hospital, Suining, 629000, China.

出版信息

J Cardiothorac Surg. 2018 May 18;13(1):44. doi: 10.1186/s13019-018-0733-6.

DOI:10.1186/s13019-018-0733-6
PMID:29776376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5960101/
Abstract

BACKGROUND

Pulmonary sequestration is a rare congenital pulmonary dysplasia, which requires surgical resection (either via open thoracotomy or video-assisted thoracoscopic surgery [VATS] or via endoluminal occlusion of the abnormal feeding vessel).

CASE PRESENTATION

We described a 51-year-old female patient with a history of recurrent cough and repeated pneumonia. She was referred to our hospital for further work-up of pulmonary sequestration. We performed a hybrid surgery (i.e., embolization of the aberrant feeding vessel of the sequestration combined with wedge resection of the left lower lobe lesion through VATS). The patient was discharged on the sixth postoperative day in good condition and without complications.

CONCLUSIONS

We believe that a hybrid operation is safer, more feasible, and more comprehensive than other treatments.

摘要

背景

肺隔离症是一种罕见的先天性肺发育异常,需要手术切除(可通过开胸手术、电视辅助胸腔镜手术[VATS]或通过腔内闭塞异常供血血管)。

病例报告

我们描述了一名51岁女性患者,有反复咳嗽和反复肺炎病史。她因肺隔离症进一步检查被转诊至我院。我们进行了杂交手术(即栓塞隔离症的异常供血血管并通过VATS对左下叶病变进行楔形切除)。患者术后第六天情况良好出院,无并发症。

结论

我们认为杂交手术比其他治疗方法更安全、更可行且更全面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af8/5960101/040f1f050140/13019_2018_733_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af8/5960101/5e8a13cf6d7f/13019_2018_733_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af8/5960101/040f1f050140/13019_2018_733_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af8/5960101/5e8a13cf6d7f/13019_2018_733_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af8/5960101/040f1f050140/13019_2018_733_Fig2_HTML.jpg

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Ann Thorac Surg. 2016 Dec;102(6):e533-e535. doi: 10.1016/j.athoracsur.2016.05.043.
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Endovascular embolization prior to surgical resection of symptomatic intralobar pulmonary sequestration in an adult.成年患者有症状的叶内型肺隔离症手术切除前的血管内栓塞治疗
Eur J Radiol Open. 2015 Dec 9;3:12-5. doi: 10.1016/j.ejro.2015.11.001. eCollection 2016.
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A case of rare pulmonary sequestration complicated with congenital heart disease treated by arterial embolization and atrial defect closure: A case report and review of literature.1例罕见的肺隔离症合并先天性心脏病经动脉栓塞及房间隔缺损封堵治疗:病例报告及文献复习
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Two unusual variants of pulmonary intra-lobar sequestration.两种不寻常的肺叶内隔离症变异型。
Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac189.
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