Extended resection of the pulmonary artery and the aorta for primary lung cancer. Report of a case.
We report a case of squamous cell carcinoma of the lung in which a left pneumonectomy combined resection of the pulmonary artery and aorta was performed using a cardiopulmonary bypass. The bifurcation of the pulmonary artery was repaired with a pericardial patch and the descending aorta was replaced with an artificial vessel Eleven months later, the patient underwent dissection of the contralateral mediastinal lymph nodes because of a recurrence of the disease. Even though pulmonary metastases have again recently appeared, he is alive and doing well two years after operation. To obtain a better prognosis in cases demonstrating an involvement of the bifurcation of pulmonary artery, more effective combined treatment still needs to be developed.
Sugio
K
K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Sakada
T
T
Saito
G
G
Maruyama
R
R
Nishioka
K
K
Tominaga
R
R
Nakanishi
Y
Y
Hara
N
N
Sugimachi
K
K
D000328:Adult; D001013:Aorta, Thoracic / Q000601:surgery*; D001672:Biocompatible Materials; D019917:Blood Vessel Prosthesis Implantation; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D011013:Pneumonectomy / Q000379:methods; D011093:Polyethylene Terephthalates; D011651:Pulmonary Artery / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D013909:Thorax
D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates