用于切除巨大奇静脉动脉瘤的倒L形切口：一例报告
Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report.
作者信息
Tamura Kazuki, Konishi Yasunobu, Tatsuishi Wataru, Abe Tomonobu
机构信息
Department of Cardiovascular Surgery, Gunma University Hospital, 3-39-15 Showamachi, Maebashi, Gunma, 371-8511, Japan.
出版信息
Surg Case Rep. 2023 May 18;9(1):83. doi: 10.1186/s40792-023-01669-w.
BACKGROUND
Azygos vein aneurysms are rare and asymptomatic in many cases. The management for these aneurysms is controversial, and there is no clear guideline or evidence-based threshold for surgical or interventional therapy.
CASE PRESENTATION
Herein, we report the case of a giant azygos vein aneurysm in a 78-year-old man that was treated with a reversed L-shaped incision. A 56 × 77 mm saccular azygos vein aneurysm was incidentally detected on computed tomography. Subsequently, surgical resection with interventional radiology and reversed L-shaped thoracotomy was performed. First, we performed coil embolization of the azygos vein aneurysm inflow. Next, a cardiopulmonary bypass was established through a reversed L-shaped sternotomy, and the aneurysm was excised.
CONCLUSIONS
In this case, surgical resection via reversed L incision was effective.
背景
奇静脉动脉瘤较为罕见，许多病例中无明显症状。这些动脉瘤的治疗存在争议，对于手术或介入治疗，尚无明确的指南或基于证据的阈值。
病例报告
在此，我们报告一例78岁男性巨大奇静脉动脉瘤的病例，采用倒L形切口进行治疗。计算机断层扫描偶然发现一个56×77毫米的囊状奇静脉动脉瘤。随后，进行了介入放射学辅助下的手术切除及倒L形开胸手术。首先，我们对奇静脉动脉瘤的流入道进行了弹簧圈栓塞。接下来，通过倒L形胸骨切开术建立体外循环，切除动脉瘤。
结论
在本病例中，经倒L形切口进行手术切除是有效的。
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