动脉栓塞和锥形束计算机断层扫描引导的肺切除术治疗正常肺的异常系统动脉供血:两个病例报告。

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-03-15 DOI:10.5761/atcs.cr.23-00023
Momoko Asami, Hitoshi Dejima, Yoshikane Yamauchi, Yuichi Saito, Koji Saito, Hiroshi Kondo, Yukinori Sakao
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引用次数: 0

摘要

正常肺部的全身动脉供血是一种罕见的解剖异常。由于这种异常会导致肺动脉高压,因此通常需要进行手术。在此,我们报告了我们的经验和安全血管解剖的想法。病例 1 是一名 50 多岁的女性。我们在经皮线圈栓塞术后进行了左肺下叶切除术。术中通过锥形束计算机断层扫描(CBCT)确认了带有栓子的异常动脉,以便在胸腔镜手术(TS)下安全地剥离。病例 2 是一名 40 多岁的男子。经皮血管内栓塞闭塞后,我们使用吲哚青绿荧光导航进行了左侧部分切除术。术中,CBCT 成像显示了异常动脉和栓子的确切位置。这种介入放射学和TS与CBCT成像相结合的技术被认为是治疗正常肺部异常系统动脉供血的安全可靠的方法。
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Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports.

Systemic arterial blood supply to a normal lung is a rare anatomical abnormality. Surgery is usually indicated because this abnormality leads to pulmonary hypertension. Herein, we report our experience and ideas for safe vessel dissection. Case 1 was a woman in her 50s. We performed a left lower lobectomy following percutaneous coil embolization. The aberrant artery with emboli was confirmed intraoperatively by cone-beam computed tomography (CBCT) to safely dissect under thoracoscopic surgery (TS). Case 2 was a man in his 40s. Following percutaneous endovascular plug occlusion, we performed a left partial resection using indocyanine green fluorescence navigation. Intraoperatively, CBCT imaging demonstrated the aberrant artery and exact position of the emboli. This combination technique of interventional radiology and TS with CBCT imaging was considered safe and more secure for the treatment of anomalous systemic arterial blood supply to a normal lung.

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来源期刊
Annals of Thoracic and Cardiovascular Surgery
Annals of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.80
自引率
0.00%
发文量
56
审稿时长
4-8 weeks
期刊介绍: Information not localized
期刊最新文献
Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports. Surgery for Ascending Aortic Aneurysm and Aortic Valve Insufficiency in Conditions of Active Proceeding Syphilitic Aortitis and Valvulitis. Impact of Graft Velocity on Saphenous Vein Graft Atherosclerosis after Coronary Artery Bypass Grafting. Surgery for Secondary Spontaneous Pneumothorax with Chronic Lung Diseases. Impact of Impella Support on Clinical Outcomes in Patients with Postcardiotomy Cardiogenic Shock.
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