在肺部切除术中识别肺外栓塞。

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiothoracic Surgery Pub Date : 2024-07-13 DOI:10.1186/s13019-024-02880-y

Ming Zhang, Weifen Tang, Hao Shi, Xiabin Tu, Weidong Li, Zhengliang Wei

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引用次数: 0

摘要

背景：大叶外肺栓塞位于肺实质之外，由分离的胸膜囊覆盖，约占所有肺栓塞的25%：本文报告了一例源于食道中段的肺外膜栓塞，该病例在肺切除术中被发现并切除。组织学检查显示，异位肺组织伴有支气管增生，这与小叶外肺栓塞相符：结论：CT 血管造影、超声波和核磁共振成像可用于明确诊断和检测肺外栓塞的异常供血动脉。在解剖和结扎可能的供血动脉时应小心谨慎。血管内闭塞可能是手术之外的另一种选择。

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Recognition of an extralobar pulmonary sequestration during lung resection.

Background: Extralobar pulmonary sequestration is located outside the lung parenchyma and is covered by a separated pleural sac, which comprises approximately 25% of all pulmonary sequestration.

Case presentation: This article reported one case of an extralobar pulmonary sequestration originated from the mesoesophagus, which was recognized and excised during a lung resection. Histologic examination revealed an ectopic lung tissue with hyperplasia of bronchioles, which was accord with an extralobar pulmonary sequestration.

Conclusions: CT angiogram, ultrasound and MRI can be used to clarify the diagnosis and detect the abnormal feeding arteries of extralobar pulmonary sequestration. Carefulness should be taken while dissecting and ligating the potential feeding arteries. Endovascular occlusion might be an alternative option to surgery.

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来源期刊

Journal of Cardiothoracic Surgery 医学-心血管系统

CiteScore

2.50

自引率

6.20%

发文量

286

审稿时长

4-8 weeks

期刊介绍： Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.