Kyobu geka. The Japanese journal of thoracic surgery · 2015
[Hemorrhage from the subclavian artery after lung cancer resection treated by stent graft placement].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Endo Katsuhiko, Nakayama Takuya, Suda Hisao, Tanaka Hironori, Hato Motoki, Zennami Syuji, Nakamae Katsumi, Nishida Tsutomu
Аннотация
We present a case of a 79-year-old man with right apical invasive lung cancer which was treated by induction radiotherapy followed by right upper lobectomy with chest wall resection. Four days after the operation, hemorrhage from the funicular structure in the cupula of the parietal pleura was observed, and hemostasis was achieved by ligation and fibrin sheet pasting. At the time, we were not able to detect the hemorrhage from the subclavian artery. Two days after the 1st hemostasis, hemorrhage reccurred. Hemorrhage from the inferior border of the subclavian artery was observed, and hemostasis was achieved by direct suture and fibrin sheet pasting. One day after the 2nd hemostasis, re-recurrent hemorrhage occurred. Stent graft placement was performed under local anesthesia. No hemorrhage occurred after the stent graft placement.