保肺视频辅助胸外科手术的应用。

Sara Lopes, Rita Costa, Catarina Sousa, João Maciel, Paulo Pinho
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引用次数: 0

摘要

31岁女性左上臂植入炔诺孕酮,月经出血模式发生不良变化,要求取出。在左半胸的x线摄影中可以看到不可触及的装置。胸部计算机断层扫描显示迁移到左下肺动脉的叶下分支。尽管没有胸部症状且缺乏管理指南,但由于栓塞植入物的长期影响未知,该装置通过视频辅助胸外科手术的肺保留入路取出。
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Embolization Of Implanon Devices Lung Sparing Videoassisted Thoracic Surgery.

A 31-year-old-woman with an etonogestrel implant on her left upper arm presented with unfavorable change in her menstrual bleeding pattern and requested for its removal. The non-palpable device was perceptible in the left hemithorax by radiography. Thoracic computed-tomography showed migration to a sublobar branch of the left lower pulmonary artery. Despite the absence of thoracic symptoms and the lack of management guidelines, the device was removed by a lung sparing approach with videoassisted thoracic surgery, due to the unknown long-term effect of the embolized implant.

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