How to optimize the treatment strategy for patients of pulmonary sequestration with an elevated risk of fatal hemorrhage during operation: case discussion.

Details

Serval ID
serval:BIB_1E23103220AD
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
How to optimize the treatment strategy for patients of pulmonary sequestration with an elevated risk of fatal hemorrhage during operation: case discussion.
Journal
Journal of thoracic disease
Author(s)
Liu Y., Yu Z., Yu P., Ito A., Gonzalez M., Hirai K., Polaczek M., Liu H.
ISSN
2072-1439 (Print)
ISSN-L
2072-1439
Publication state
Published
Issued date
08/2020
Peer-reviewed
Oui
Volume
12
Number
8
Pages
4450-4458
Language
english
Notes
Publication types: Case Reports
Publication Status: ppublish
Abstract
Video-assisted thoracoscopic surgery (VATS) lobectomy, especially uniportal VATS, is increasingly used for pulmonary sequestration (PS). However, there are few descriptions of safe handling of the aberrant artery with atherosclerosis, especially the diameter of arteries exceeds than 2.0 cm, under uniportal VATS approach. Here we report a 56-year-old man who was diagnosed with pulmonary sequestration following trauma. The patient had a long history of cough with purulent sputum. One month before the trauma, he had copious expectoration with foul smell again. A contrast CT scan revealed a 7.5 cm mass in his right lower lobe. The mass was supplied by a thick aberrant atherosclerotic artery (over than 2 cm in diameter), which stemmed from the thoracic aorta with multiple calcifications on both. After adequate preoperative evaluation, we performed a right lower lobectomy under uniportal VATS approach. No surgical-associated complications occurred, and the patient was discharged on the 5th days after the operation. We organized an iMDT (international multidisciplinary team) to discuss the reasonability and optimal treatment pattern for this patient. We found that fully assess the quality of the aberrant arteries of PS following blocking and cutting off in an appropriate way are crucial to avoid the happening of fatal bleeding during the operation.
Keywords
Pulmonary sequestrations, atherosclerosis, case report, hemorrhage
Pubmed
Web of science
Open Access
Yes
Create date
28/09/2020 13:10
Last modification date
17/04/2021 6:34
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