Both atrial resection and superior vena cava replacement in sleeve pneumonectomy for advanced lung cancer.
Extended sleeve pneumonectomy including removal of the superior vena cava, right atrium and parts of left atrium on cardiopulmonary bypass was successfully performed in a 40-year-old man. The tumour was histologically proven a T4 N1 stage with margins free from tumour. Adjuvant radiochemotherapy was administered postoperatively on an outpatient base. The patient did well for 7 months then he died from myocardial infarction due to metastatic infiltration of the right coronary artery. Other metastatic deposits were not found at autopsy. More data from extended pulmonary resections are required to demonstrate a benefit.
Ernst
M
M
Department of General Surgery, Philipps-University Marburg, Germany. www.ernst@uni-marburg.de
Koller
M
M
Grobholz
R
R
Moosdorf
R
R
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D017809:Fatal Outcome; D006325:Heart Atria / Q000601:surgery*; D006338:Heart Neoplasms / Q000556:secondary; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008482:Mediastinum / Q000473:pathology; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*