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

Détails

ID Serval
serval:BIB_1E23103220AD
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
How to optimize the treatment strategy for patients of pulmonary sequestration with an elevated risk of fatal hemorrhage during operation: case discussion.
Périodique
Journal of thoracic disease
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
08/2020
Peer-reviewed
Oui
Volume
12
Numéro
8
Pages
4450-4458
Langue
anglais
Notes
Publication types: Case Reports
Publication Status: ppublish
Résumé
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.
Mots-clé
Pulmonary sequestrations, atherosclerosis, case report, hemorrhage
Pubmed
Web of science
Open Access
Oui
Création de la notice
28/09/2020 13:10
Dernière modification de la notice
17/04/2021 6:34
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