Shi Zhe, Jin Yuxing, Chen Chang
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
Ann Transl Med. 2019 Feb;7(3):53. doi: 10.21037/atm.2018.12.49.
A 48-year-old woman with small lung nodule received transthoracic lung nodule localization by hookwire and subsequent lung resection. At the time of lung nodule localization, computed tomography (CT) scan showed that the localization was successful without any complication. However, cardiac penetrating injury caused by hookwire localizer was unexpectedly observed during surgery. This has occurred because the hookwire was placed too close to the anterior pulmonary vein and became inserted into left ventricle under the influence of blood flow and lung manipulation.
一名患有小肺结节的48岁女性接受了经胸肺结节定位钢丝钩定位术，随后进行了肺切除术。在肺结节定位时，计算机断层扫描（CT）显示定位成功，无任何并发症。然而，手术期间意外观察到钢丝钩定位器导致的心脏穿透伤。发生这种情况是因为钢丝钩放置得离肺前静脉太近，在血流和肺部操作的影响下插入了左心室。
