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Surgical management of a simultaneous aortic valve replacement and pneumonectomy.同期主动脉瓣置换术与肺切除术的外科治疗
Indian J Thorac Cardiovasc Surg. 2018 Jul;34(3):420-424. doi: 10.1007/s12055-017-0616-9. Epub 2017 Nov 23.
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Management and postoperative outcome in primary lung cancer and heart disease co-morbidity: a systematic review and meta-analysis.原发性肺癌合并心脏病患者的管理和术后结局：系统评价和荟萃分析。
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同期主动脉瓣置换术与肺切除术的外科治疗

Surgical management of a simultaneous aortic valve replacement and pneumonectomy.

作者信息

Bousnina Mouna, Zribi Hazem, Zairi Sarra, Soumer Khedija, Ouerghi Sonia, Kilani Tarek

机构信息

Department of thoracic and cardiovascular surgery, Abderrahman Mami Hospital, 2080 Ariana, Tunisia.

Abderrahman Mami Hospital, 2080 Ariana, Tunisia.

出版信息

Indian J Thorac Cardiovasc Surg. 2018 Jul;34(3):420-424. doi: 10.1007/s12055-017-0616-9. Epub 2017 Nov 23.

DOI:10.1007/s12055-017-0616-9
PMID:33060907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7525871/
Abstract

Combined heart surgery and lung resection remains a controversial issue. The treatment of two major conditions in the same operative time may be attempted in certain cases. We report the case of a 68-year-old man who presented for dyspnea on exertion. The chest computerized tomography scan showed an infiltrating tumor which involved the right interlobar artery. A pneumonectomy was indicated and the preoperative echocardiography detected a calcified aortic valve with severe stenosis and significant pressure gradient. The patient had combined pneumonectomy and aortic valve replacement through median sternotomy and was discharged 18 days after surgery. Cardiac valve replacement is feasible in conjunction with pulmonary resection. However morbidity is increased in case of associated pneumonectomy.

摘要

心脏手术与肺切除术联合进行仍是一个有争议的问题。在某些情况下，可以尝试在同一手术时间内治疗两种主要病症。我们报告了一例68岁男性患者，该患者因劳力性呼吸困难就诊。胸部计算机断层扫描显示有一个浸润性肿瘤，累及右叶间动脉。需要进行肺切除术，术前超声心动图检测到钙化主动脉瓣伴严重狭窄和显著压力阶差。该患者通过正中胸骨切开术进行了肺切除术和主动脉瓣置换术，术后18天出院。心脏瓣膜置换术与肺切除术联合进行是可行的。然而，如果同时进行肺切除术，发病率会增加。