2024-03-29T08:01:49Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016322
2022-02-22T04:54:44Z
1642838163960:1642838198944:1642838242961:1642838244566
1642838403551:1642838412624
[原著]肺葉内分画症の2手術例
Two cases of intralobar pulmonary sequestration
源河, 圭一郎
石川, 清司
金城, 清光
国吉, 真行
当山, 真人
古謝, 景春
宮城, 靖
正, 義之
野原, 雄介
Genka, Keiichiro
Ishikawa, Kiyoshi
Kinjo, Kiyomitsu
Kuniyoshi, Masayuki
Toyama, Masato
Koja, Kageharu
Miyagi, Yasushi
Sho, Yoshiyuki
Nohara, Yusuke
Case 1. A 55-year-old housewife was found on a screening chest x-ray film to have a left retrocardiac large asymptomatic round mass. Bronchography confirmed absence of bronchial communication between the mass and normal bronchopulmonary system. Preoperative aortography with selective catheterization was carried out and an aberrant artery was noted to arise from the aorta at the level of the tenth thoracic vertebra, proceeding laterally and posteriorly to supply the mass. Venous drainage was to the left inferior pulmonary vein. A diagnosis of intralobar pulmonary sequestration was made. At thoracotomy, early dissection and control of the aberrant artery was obtained with its ligation and division, and then a formal left lower lobectomy was carried out. Gross examination of the operative specimen demonstrated a solitary cyst in the posterior basal segment of the lower lobe. The aberrant artery supplied branches to the area of sequestrated tissue as well as to the adjacent pulmonary tissue. She made an uneventful recovery. Case 2. An 1 8-year-old female student underwent routine chest x-ray examination at which time asymptomatic several densities were noted in the right lower lobe. An aortogram showed that these densities were supplied by an aberrant artery arising from the abdominal aorta. This confirmed intralobar pulmonary sequestration. During the right lower lobectomy, an aberrant artery was identified. It proceeded in the pulmonary ligament to reach the lower lobe supplying branches to the sequestrated area. Examination of the resected specimen revealed multiple cysts contained within basal segments of the lower lobe. No demonstrable bronchial connection was found. Her postoperative course was quite satisfactory.
論文
http://purl.org/coar/resource_type/c_6501
琉球大学保健学部
College of Health Sciences, University of the Ryukyus
VoR
0285-9270
AN00250763
琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine
3
1
256
249
jpn
open access
琉球医学会