Managing the difficult pulmonary artery during completion pneumonectomy.
We describe two examples of successful management of a difficult PA. In the first, the posterior approach to the PA during completion pneumonectomy is demonstrated. In the second, the intrapericardial transection of the right PA is described when the tumor encroaches onto the right hilum. Maneuvers to ensure safe and continuous control of the PA have been previously described but never widely popularized or well illustrated.
Mansour
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KA
Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Downey
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RS
D005069:Evaluation Studies as Topic; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods*; D011651:Pulmonary Artery / Q000601:surgery*; D013528:Surgical Staplers