类癌肿瘤导致慢性血栓栓塞性肺动脉高压伴支气管阻塞的肺动脉内膜切除术。

IF 2.2 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pulmonary Circulation Pub Date : 2024-03-14 eCollection Date: 2024-01-01 DOI:10.1002/pul2.12354

Yuki Monden, Dai Une, Sho Mitsumune, Hiroto Shimokawahara, Hirofumi Okada, Kenji Yoshida, Shutaro Kato, Suzuka Kamaguchi, Mikizo Nakai, Motomi Ando

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引用次数: 0

摘要

肺动脉内膜剥脱术（PEA）是慢性血栓栓塞性肺动脉高压（CTEPH）的标准治疗方法。CTEPH 合并支气管肿瘤阻塞的情况很少见，但应仔细评估，因为对阻塞段进行肺动脉内膜剥脱术（PEA）的治疗效果可能较差，并使随后的手术切除具有挑战性。本报告描述了一例 75 岁男性 CTEPH 合并典型类癌支气管阻塞的病例。通过支气管镜对阻塞性肿瘤进行了现场评估和切除，提高了随后对所有受影响肺段进行 PEA 的有效性。本报告说明了治疗伴有支气管肿瘤阻塞的 CTEPH 的 PEA 策略。

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Pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension with bronchial obstruction by a carcinoid tumor.

Pulmonary endarterectomy (PEA) is a standard treatment for chronic thromboembolic pulmonary hypertension (CTEPH). CTEPH combined with bronchial obstruction by a tumor is rare but should be assessed carefully because PEA for obstructed segments can be less therapeutic and make the subsequent surgical resection challenging. This report describes a case of CTEPH with bronchial obstruction by a typical carcinoid tumor in a 75-year-old man. On-site evaluation and removal of the obstructive tumor were performed bronchoscopically, increasing the effectiveness of subsequent PEA for all affected pulmonary segments. This report illustrates a PEA strategy to treat CTEPH with bronchial tumor obstruction.

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来源期刊

Pulmonary Circulation Medicine-Pulmonary and Respiratory Medicine

CiteScore

4.20

自引率

11.50%

发文量

153

审稿时长

15 weeks

期刊介绍： Pulmonary Circulation''s main goal is to encourage basic, translational, and clinical research by investigators, physician-scientists, and clinicans, in the hope of increasing survival rates for pulmonary hypertension and other pulmonary vascular diseases worldwide, and developing new therapeutic approaches for the diseases. Freely available online, Pulmonary Circulation allows diverse knowledge of research, techniques, and case studies to reach a wide readership of specialists in order to improve patient care and treatment outcomes.