Aleksic Ivan, Gorski Armin, Hofmann Ulrich, Drosos Vassileios, Aebert Hermann
Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Germany.
Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.
Ann Thorac Surg Short Rep. 2023 Mar 5;1(2):282-284. doi: 10.1016/j.atssr.2023.02.019. eCollection 2023 Jun.
Concomitant cardiac and pulmonary operations with and without extracorporeal circulation have been described before. The advent of therapies like transcatheter aortic valve replacement (TAVR) creates new options for managing patients with valvular heart disease and concomitant lung cancer. We report a case of left upper lobe squamous cell carcinoma and severe aortic stenosis. After open S2 segmentectomy, a transapical TAVR was performed through the same incision. The patient remains well after 36 months. Combined TAVR and pulmonary resection for lung cancer is feasible in selected patients.
之前已有关于伴有或不伴有体外循环的心脏和肺部联合手术的描述。经导管主动脉瓣置换术（TAVR）等治疗方法的出现，为瓣膜性心脏病合并肺癌患者的管理创造了新的选择。我们报告一例左上叶鳞状细胞癌合并严重主动脉瓣狭窄的病例。在开放性S2段切除术后，通过相同切口进行了经心尖TAVR。36个月后患者情况良好。对于选定的患者，TAVR联合肺癌肺切除术是可行的。
