供应肺隔离症的动脉瘤样动脉：联合治疗成功
Aneurysmal artery supplying pulmonary sequestration: successful combined approach.
作者信息
Napolitano Antonio Giulio, Coviello Eleonora, Simonte Gioele, Vannucci Jacopo
机构信息
Thoracic Surgery Unit, Department of Surgical Sciences, Santa Maria della Misericordia Hospital, University of Perugia Medical School, Perugia, Italy.
Vascular and Endovascular Surgery Unit, S. Maria Della Misericordia University Hospital, Perugia, Italy.
出版信息
Interdiscip Cardiovasc Thorac Surg. 2024 May 2;38(5). doi: 10.1093/icvts/ivae079.
A 62-year-old man was diagnosed with an asymptomatic intralobar pulmonary sequestration supplied by a short-neck proximal 57×25 mm aneurysmal artery originating from the mid-descending aorta. The patient underwent thoracic endovascular aneurysm repair; an aortic endograft was released to entirely restore the aberrant vessel. Then, pulmonary resection was performed. A triportal video-assisted left lower lobectomy was carried out. The thoracic endovascular aneurysm repair minimized the risk of bleeding and allowed a safe pulmonary resection with a minimally invasive approach.
一名62岁男性被诊断为叶内型肺隔离症，由一根起源于降主动脉中段的短颈近端57×25毫米动脉瘤样动脉供血。患者接受了胸段血管内动脉瘤修复术；释放了一个主动脉内支架移植物以完全恢复异常血管。然后，进行了肺切除术。实施了三孔电视辅助左下肺叶切除术。胸段血管内动脉瘤修复术将出血风险降至最低，并允许采用微创方法进行安全的肺切除术。
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