在对侧部分性肺静脉异位连接矫正术后，行肺癌肺叶切除并支气管成形术和肺动脉血管成形术。
Lobectomy with bronchoplasty and pulmonary arterial angioplasty for lung cancer after correction of contralateral partial anomalous pulmonary venous connection.
作者信息
Fukumoto Koichi, Goto Madoka, Ichikawa Yasuhisa, Kawasumi Yuta, Uchiyama Mika, Maekawa Atsuo, Mori Shoichi
机构信息
Department of Thoracic Surgery, Japanese Red Cross Nagoya First Hospital, 3-35 Michishita-cho, Nakamura-ku, Nagoya, 453-8511, Japan.
Department of Cardiovascular Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
出版信息
Surg Case Rep. 2020 Dec 7;6(1):310. doi: 10.1186/s40792-020-01083-6.
BACKGROUND
There have been few reports on surgically treated primary lung cancer accompanied by contralateral partial anomalous pulmonary venous connection (PAPVC). In such cases, repair of the PAPVC might be necessary to avoid postoperative right-heart failure due to the increased flow of the left-to-right shunt.
CASE PRESENTATION
We herein report a case of lung adenocarcinoma treated by left-upper lobectomy with bronchoplasty and pulmonary arterial angioplasty after induction chemoradiation therapy followed by surgical correction of the PAPVC in the right-upper lobe. The patient is alive without recurrence of lung cancer or any symptoms of heart failure 17 months after pulmonary resection.
CONCLUSION
When considering performing major pulmonary resection for lung tumor, thoracic surgeons should pay close attention to the presence of a PAPVC not only on the ipsilateral side of the lung tumor, but also the contralateral side, although it is a rare phenomenon.
背景
关于手术治疗的伴有对侧部分肺静脉异位连接（PAPVC）的原发性肺癌的报道很少。在这种情况下，可能有必要修复PAPVC，以避免因左向右分流增加导致术后右心衰竭。
病例介绍
我们在此报告1例肺腺癌患者，在诱导放化疗后行左上叶切除、支气管成形术和肺动脉血管成形术，随后对右上叶的PAPVC进行手术矫正。肺切除术后17个月，患者存活，无肺癌复发及任何心力衰竭症状。
结论
在考虑对肺部肿瘤进行大型肺切除时，胸外科医生不仅应密切关注肺肿瘤同侧，还应关注对侧是否存在PAPVC，尽管这是一种罕见现象。
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