Thoracic Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy.
Thoracic Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy.
Ann Thorac Surg. 2020 Jan;109(1):e55-e57. doi: 10.1016/j.athoracsur.2019.04.100. Epub 2019 Jun 21.
Pulmonary artery sling is a rare congenital anomaly of the origin and course of the left pulmonary artery. Patients with this condition typically present with respiratory failure in young infancy, and asymptomatic cases are uncommon. We describe the case of an adult patient with a lung adenocarcinoma of the right upper lobe, extending into the hilum and superior mediastinum, and with a previously unknown pulmonary artery sling anomaly. The local invasiveness of the tumor and the peculiar vascular anatomy contributed to a unique surgical scenario, wherein multiple reconstructive procedures were required.
肺动脉吊带是一种罕见的左肺动脉起源和走行异常。患有这种疾病的患者通常在婴幼儿时期就出现呼吸衰竭，无症状的情况并不常见。我们描述了一例右上肺腺癌患者的病例，该肿瘤延伸至肺门和上纵隔，并伴有先前未知的肺动脉吊带异常。肿瘤的局部侵袭性和独特的血管解剖结构导致了一个独特的手术情况，需要进行多次重建手术。
