Patent foramen ovale after lobectomy. A contraindication to completion pneumonectomy?
Patency of the foramen ovale (FO) is a very rare complication after lobectomy. Completion pneumonectomy after FO reopening has never been described before. In the reported case, a patent FO was diagnosed in a 52-year old man 9 months after a left upper sleeve lobectomy for a squamous cell carcinoma pT2N1. At the same time, bronchoscopy showed an endobronchial recurrence in the left main bronchus. The foramen was closed percutaneously by a 35 mm Amplatzer prosthesis. Dyspnea improved dramatically in the following 4 weeks and no more oxygen therapy was required. After complete restaging, a completion pneumonectomy was performed without any postoperative complication. This case report suggests that pneumonectomy in such delicate patients is feasible.
Leo
F
F
Thoracic Surgery Department, Pasteur Hospital, 30 Avenue de la Voie Romaine, 06000 Nice, France. francescoleo@interfree.it
Venissac
N
N
Rabary
O
O
Guillot
F
F
Khelef
S
S
Mouroux
J
J
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006348:Cardiac Surgical Procedures; D009202:Cardiomyopathies / Q000209:etiology* / Q000601:surgery*; D000075202:Contraindications; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D019919:Prosthesis Implantation; D012086:Reoperation