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An adult case of isolated unilateral pulmonary agenesis under general anesthesia 被引量:1

An adult case of isolated unilateral pulmonary agenesis under general anesthesia
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摘要 Pulmonary agenesis is a rare congenital malformation of unknown etiology that is defined as the complete absence of the bronchus,lung parenchyma,and pulmonary vasculature.The exact incidence of this rare abnormality is not known but is believed to range from 0.003 4% to 0.009 7%.1 Pulmonary agenesis affects men and women almost equally.Left sided agenesis is more common.More than half of the reported cases are associated with anomalies involving cardiovascular,gastrointestinal,skeletal,and urogenital systems and patients die within the first five years of life.Although some cases are compatible with long-term survival and normal growth,completely symptom free and well tolerated surgery is extremely rare.Here we present a case of congenital left lung agenesis in an adult woman tolerating general anesthesia well for modified radical mastectomy. Pulmonary agenesis is a rare congenital malformation of unknown etiology that is defined as the complete absence of the bronchus,lung parenchyma,and pulmonary vasculature.The exact incidence of this rare abnormality is not known but is believed to range from 0.003 4% to 0.009 7%.1 Pulmonary agenesis affects men and women almost equally.Left sided agenesis is more common.More than half of the reported cases are associated with anomalies involving cardiovascular,gastrointestinal,skeletal,and urogenital systems and patients die within the first five years of life.Although some cases are compatible with long-term survival and normal growth,completely symptom free and well tolerated surgery is extremely rare.Here we present a case of congenital left lung agenesis in an adult woman tolerating general anesthesia well for modified radical mastectomy.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第4期789-790,共2页 中华医学杂志(英文版)
关键词 pulmonary agenesis SURGERY breast cancer general anesthesia pulmonary agenesis surgery breast cancer general anesthesia
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  • 1Mardini MK,Nyhan WL. Agenesis of the lung,report of four patients with unusual anomalies[J].{H}CHEST,1985.522-527.
  • 2Hastings R,Harding D,Donaldson A,Liebling R,Hayes A,Kraus A. Mardini-Nyhan association (lung agenesis,congenital heart,and thumb anomalies):three new cases and possible recurrence in a sib-is there a distinct recessive syndrome[J].{H}American Journal of Medicdl Genetics,2009.2838-2842.
  • 3Dajer-Fadel WL,Gonzalez-Ruiz FJ,Arg üero-Sanchez R,IbarraPerez C. Left lung agenesis associated with common origin of both coronary arteries[J].Asian Cardiovasc Thorac Ann,2012.745-745.
  • 4Guo HW,Pan SW,Song YH,Hu SS. Repair of a ventricular septal defect in a patient with left lung agenesis[J].{H}Journal of Cardiac Surgery,2011.519-520.
  • 5Boulton B J,Force SD. Treatment of spontaneous pneumothorax in a patient with right pulmonary agenesis[J].{H}ANNALS OF THORACIC SURGERY,2011.e27-e28.

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