Lung Cancer in a Patient With Pulmonary Artery Sling: A Case Report

Frontiers in Surgery

article

Jiahui Mi¹  Xun Wang¹  Xiao Li¹  Yanguo Liu¹  Guanchao Jiang¹  Feng Yang¹ 

[1] Department of Thoracic Surgery, Peking University People's Hospital

关键词: pulmonary artery sling;    lung cancer;    lobectomy;    perioperative risk;    prognosis;   

DOI  :  10.3389/fsurg.2022.849183

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Introduction Pulmonary artery sling (PAS) is a rare congenital vascular anomaly that results when the left pulmonary artery arises from the right pulmonary artery. There is little relevant literature on lobectomy for the treatment of lung cancer in patients with PAS, and the prognosis is unknown. Case Description A 54-year-old asymptomatic man was found to have a nodule on the left lower lobe of the lung, which measured 2.5 cm. The patient also had PAS. Three-dimensional computed tomography angiography confirmed that the left pulmonary artery arose from the right pulmonary artery and passed between the main trachea and the esophagus toward the left thorax. No obvious contraindication was found in the preoperative examination, and the patient successfully underwent lobectomy of the left lower lobe by video-assisted thoracoscopic surgery. Histological examination of the lesion revealed invasive adenocarcinoma. The postoperative course was uneventful, and no complications occurred in the subsequent 3 years of follow-up. Conclusions Lobectomy in a lung cancer patient with PAS did not increase perioperative risk and had no significant effect on prognosis.

【 授权许可】

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