Mei Jiandong, Guo Chenglin, Liu Lunxu, Che Guowei, Pu Qiang
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
J Thorac Dis. 2018 Apr;10(4):E309-E312. doi: 10.21037/jtd.2018.04.51.
A 34-year-old woman was referred to our center because of collapsed left lung and left main bronchial stenosis 1 week after a vehicular accident. Bronchoscopic observation revealed stenosis in the left main and lobar bronchus. Computed tomography (CT) angiography found traumatic descending aortic pseudoaneurysm after admission. Phased intervention strategy was adopted. The aortic rupture was repaired with endovascular stent firstly, followed by sleeve reconstruction of the left main bronchus through posterolateral thoracotomy 11 days later. She recovered uneventfully and resulted in an excellent long-term outcome. The diagnosis and treatment of this case is discussed.
一名34岁女性在车祸后1周因左肺萎陷和左主支气管狭窄被转诊至我院。支气管镜检查发现左主支气管和叶支气管狭窄。入院后计算机断层扫描（CT）血管造影发现创伤性降主动脉假性动脉瘤。采取了分阶段干预策略。首先采用血管内支架修复主动脉破裂，11天后通过后外侧开胸手术对左主支气管进行袖状重建。她恢复顺利，长期预后良好。本文对该病例的诊断和治疗进行了讨论。
