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肺隔离症并来自腹主动脉的异常动脉的联合外科治疗。

Combined surgical therapy for pulmonary sequestration and aberrant artery from the abdominal aorta.

机构信息

Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2021 Jun;69(6):1031-1034. doi: 10.1007/s11748-021-01612-6. Epub 2021 Mar 20.

Abstract

Pulmonary sequestration with feeding vessels from the abdominal aorta is relatively rare. A 56-year-old woman with chronic left thoracic pain was referred to our hospital. Computed tomography showed multiple pulmonary cysts in the left lung and an aberrant artery from the abdominal aorta. She was diagnosed with pulmonary sequestration. She underwent embolization of the aberrant artery and wedge resection of the sequestrated lung under indocyanine green guidance. The surgical treatment combining preoperative embolization of the artery and intraoperative indocyanine green-guided lung resection might be safe and minimally invasive for patients with lung sequestrations accompanied by feeding vessels from the abdominal aorta.

摘要

从腹主动脉分出的肺隔离症相对少见。一位 56 岁女性因慢性左侧胸痛被转诊至我院。计算机断层扫描显示左肺内存在多个肺囊肿和一条来自腹主动脉的异常动脉。诊断为肺隔离症。在吲哚菁绿引导下,对异常动脉进行栓塞并楔形切除隔离肺。对于伴有来自腹主动脉的供血动脉的肺隔离症患者,术前动脉栓塞联合术中吲哚菁绿引导下肺切除术的联合治疗可能是安全和微创的。

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