Murray Lewis William, Gopal Rakesh, Gimpel Damian, Szpytma Malgorzata Maggie, Crouch Gareth
Department of Cardiothoracic Surgery, Flinders Medical Centre, Adelaide, SA, Australia.
J Surg Case Rep. 2022 Sep 5;2022(9):rjac390. doi: 10.1093/jscr/rjac390. eCollection 2022 Sep.
We present a case of a 68-year-old man who presents with worsening cough and dyspnoea 12 months after undergoing radiofrequency ablation therapy for atrial fibrillation. Investigation revealed complete occlusion of the left lower pulmonary vein and partial stenosis of the left upper pulmonary vein. He underwent a stage surgical resection with the first stage being a left lower lobectomy for the non-viable lobe followed by a repair of the left upper pulmonary vein via anastomosis with the left atrial appendage. This staged procedure yielded excellent results and avoided the need for a left-sided pneumonectomy.
我们报告一例68岁男性患者，该患者在接受房颤射频消融治疗12个月后出现咳嗽和呼吸困难加重。检查发现左下肺静脉完全闭塞，左上肺静脉部分狭窄。他接受了分期手术切除，第一阶段是对无活力的左下叶进行肺叶切除术，随后通过与左心耳吻合对左上肺静脉进行修复。这种分期手术取得了优异的效果，避免了左侧全肺切除术的需要。
