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中华胸部外科电子杂志 ›› 2016, Vol. 03 ›› Issue (01) : 59 -61. doi: 10.3877/cma.j.issn.2095-8773.2016.01.059

所属专题: 经典病例 文献

病例报告

电视辅助胸腔镜手术治疗降主动脉-奇静脉瘘并血管瘤形成一例
胡华利1, 刘文亮1, 唐敬群1, 彭慕云1, 喻风雷1,()   
  1. 1. 410011 长沙,中南大学湘雅二医院胸外科
  • 收稿日期:2016-02-05 出版日期:2016-02-28
  • 通信作者: 喻风雷

One case report of descending aorta-azygos fistula complicated with aneurysm treated with video-assisted thoracic surgery

Huali Hu1, Wenliang Liu1, Jinqun Tang1   

  • Received:2016-02-05 Published:2016-02-28
引用本文:

胡华利, 刘文亮, 唐敬群, 彭慕云, 喻风雷. 电视辅助胸腔镜手术治疗降主动脉-奇静脉瘘并血管瘤形成一例[J]. 中华胸部外科电子杂志, 2016, 03(01): 59-61.

Huali Hu, Wenliang Liu, Jinqun Tang. One case report of descending aorta-azygos fistula complicated with aneurysm treated with video-assisted thoracic surgery[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2016, 03(01): 59-61.

图1 CT血管造影增强加三维成像(双源)检查结果图。A、B:术前胸主动脉右侧约第7胸椎平面发出一动脉血管分支,向右侧胸腔内突出,血管迂曲走行进入右侧胸腔,局部膨大形成血管瘤样结构,最后汇入奇静脉及上腔静脉;C、D:术后1个月,原异常动脉已被离断,残留的血管瘤体积明显缩小,血管瘤体内可见部分低密度血栓形成。
图2 降主动脉影像及对应的术中探查实物图。A~C:术前CT血管造影提示异常的动脉(黑箭头所示)及异常形成的血管瘤(白箭头所示);D~F:术中胸腔镜下探查见胸腔内血管瘤(白箭头所示)及回流到明显增粗的奇静脉(黑三角形所示)。
图3 术中处理异常动脉图。A~C:切断血管瘤下缘奇静脉,暴露深面的异常动脉;D~F:游离并切断异常动脉。
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