論文

国際誌
2021年1月4日

Staged surgery for empyema and lung gangrene caused by pseudoaneurysm after radiofrequency ablation.

Interactive cardiovascular and thoracic surgery
  • Kentaro Nakata
  • ,
  • Seiichiro Sugimoto
  • ,
  • Masaomi Yamane
  • ,
  • Shinichi Toyooka

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1093/icvts/ivaa331

Lung gangrene is a potentially fatal disease, and primary or staged surgery, depending on the patient's condition, is reported to be useful. We describe successful management, by staged surgery, of a rare case of empyema and lung gangrene complicating lung radiofrequency ablation. The patient, who was a diabetic with colorectal pulmonary metastases, underwent embolization of a pulmonary artery pseudoaneurysm in the right basal segment that developed after lung radiofrequency ablation. He subsequently developed lung gangrene caused by lung ischaemia, and empyema, necessitating pleural decortication followed by open-window thoracostomy. Subsequently, right basal segmentectomy was performed, with thoracostoma closure. Staged surgery might be beneficial for high-risk patients with empyema and lung gangrene caused by lung ischaemia.

リンク情報
DOI
https://doi.org/10.1093/icvts/ivaa331
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33393589

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