Ikeda Toshihiro, Takahashi Ayuko, Matsuura Akihiro, Aono Taisei, Nakanobo Ryo, Fukui Takamasa, Yoshida Masakazu, Kobayashi Masashi
Department of General Thoracic Surgery, Kurashiki Central Hospital, Kurashiki, Japan.
Kyobu Geka. 2023 Aug;76(8):657-660.
A 72-year-old man who underwent aortic valve replacement by a minimally invasive cardiac surgery (MICS) approach two years ago was visited our hospital complaining of swelling and pain in the right anterior chest. A chest computed tomography (CT) scan showed that the right upper lobe protruded beyond the right second intercostal space and outside the thorax. He was diagnosed as a right intercostal lung hernia and underwent chest wall reconstruction with a substitute method. Postoperative course was uneventful without any evidence of recurrence. Postoperative intercostal lung hernias in MICS may increase with the increment in MICS, and it is necessary to accumulate cases as one of the complications.
一名72岁男性，两年前接受了微创心脏手术（MICS）置换主动脉瓣，因右前胸肿胀疼痛前来我院就诊。胸部计算机断层扫描（CT）显示右上叶突出至右第二肋间间隙以外并超出胸廓。他被诊断为右肋间肺疝，并采用替代方法进行了胸壁重建。术后过程顺利，无复发迹象。MICS术后肋间肺疝可能会随着MICS手术量的增加而增多，有必要将其作为并发症之一积累病例。
