Pulmonary artery reconstruction using a great saphenous vein autograft in the treatment of bronchogenic cancer.
Sleeve resection of the pulmonary artery, followed by reconstruction with or without bronchoplasty, for bronchogenic carcinoma located at a major lobar orifice has been reported as an alternative to pneumonectomy in patients with poor respiratory functional reserve. We describe herein what is, to our knowledge, the first report of a successful pulmonary arterial reconstruction using a saphenous vein autograft. This operation was performed in a 63-year-old man with poor pulmonary functional reserve who was diagnosed as having a large bronchogenic cancer in the left lower lobe of the lung, located close to the pulmonary hilum. First, a left lower lobectomy was performed with segmental resection of the pulmonary artery, from the basal artery to the lingular artery, after which pulmonary arterial continuity was reconstructed using a saphenous vein autograft. The patient had an uneventful recovery and remains well without any sign of recurrence 4 months after his operation.
Yoshimi
F
F
Department of Surgery, Ibaraki Prefectural Central Hospital, Japan.
Amemiya
R
R
Asato
Y
Y
Koizumi
S
S
Hasegawa
H
H
Matsueda
K
K
Kobayashi
H
H
Itabashi
M
M
Ishikawa
S
S
D002283:Carcinoma, Bronchogenic / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*