Department of Thoracic Surgery and Lung Transplantation, Foch Hospital, Suresnes, France.
Department of Radiology, Foch Hospital, Suresnes, France.
Ann Thorac Surg. 2022 Feb;113(2):e95-e97. doi: 10.1016/j.athoracsur.2021.04.040. Epub 2021 Apr 28.
We present the case of a 20-year-old male patient presenting a right lower intralobar pulmonary "horseshoe" sequestration extending into the left cavity supplied by 4 aberrant arteries from the thoracic descending aorta. The surgical approach for this exceptional and challenging presentation was based on thorough analysis of the chest computed tomography scan aided by 3-dimensional reconstructions. The latter helped us better understand this complex malformation. Surgery was done by robot-assisted bilateral approach with en bloc extraction through the left side.
我们报告了一例 20 岁男性患者，其呈现右肺下叶“马蹄铁”型隔离肺，延伸至由胸降主动脉 4 支异常动脉供血的左肺腔。针对这一特殊且具有挑战性的病变，我们基于胸部 CT 扫描的全面分析，并结合三维重建来制定手术方案。后者帮助我们更好地理解这种复杂的畸形。手术采用机器人辅助双侧入路，通过左侧整块取出。
