中胸A5:肺动脉系统的新型动脉变体:一个病例报告
Gang Li1, Sheng Gong1, Ning Wang1
1Department of Thoracic Surgery, The Public Health Clinical Center of Chengdu, Chengdu, 610061, China.
Journal of cardiothoracic surgery
|March 29, 2025
概括
识别变异的中腔A5肺动脉对于安全的右上叶切除术至关重要,特别是在状粘附的情况下. 三维计算机断层扫描,支气管和血管扫描 (3D-CTBA) 有助于精确的手术前规划,以防止严重出血.
科学领域:
- 胸部外科手术 胸部外科手术
- 血管解剖学 血管解剖学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肺动脉变异需要仔细的手术规划,以防止手术内出血.
- 部粘附,特别是结核病的粘附,增加了流血和手术复杂性的风险,在带切除过程中.
- 如果在附着物存在时无法识别变异性肺动脉,可能导致致命的结果.
研究的目的:
- 报道了第一个变异性中骨A5肺动脉的插图.
- 强调在接受右上叶切除术的患者中识别变异性肺动脉的重要性.
- 突出3D-CTBA在复杂病例的手术规划中的作用.
主要方法:
- 一个案例介绍一个52岁的男性患有结核瘤和右上叶状粘附.
- 进行了三门视频辅助胸腔镜 (VATS) 右上分叶切除术.
- 三维计算机断层扫描支气管和血管学 (3D-CTBA) 用于手术前识别变异性肺动脉.
主要成果:
- 一种来自近端肺动脉干的A5肺动脉变体,使用3D-CTBA精确识别出来.
- 鉴定的变体动脉在中央静脉和V1+3分支之间流动.
- 精确的鉴定确保了安全的右上叶切除术,没有严重的手术内出血.
结论:
- 三维计算机断层扫描,支气管和血管扫描 (3D-CTBA) 有效地说明了不同的肺动脉.
- 鉴定中体A5变体对于安全和成功的右上叶切除术至关重要.
- 术前成像对于避免误诊和胸部手术期间潜在的严重出血至关重要.
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