Left pneumonectomy for lung cancer after correction of contralateral partial anomalous pulmonary venous return.
We report the successful treatment of a 48-year-old man with left lung cancer and contralateral partial anomalous pulmonary venous return (PAPVR). He was found to have an abnormal shadow on a regular checkup. Sputum cytology revealed squamous cell carcinoma. Chest computed tomography showed not only a left hilar mass but also showed that his right superior pulmonary vein was draining into the high portion of the superior vena cava. In the presence of the right partial anomalous pulmonary venous return, it was believed that left pneumonectomy would cause serious postoperative heart failure due to an increase in the left-to-right shunt. Therefore his partial anomalous pulmonary venous return was corrected first under cardiopulmonary bypass, and 3 weeks later he underwent successful radical left pneumonectomy.
Sakurai
Hiroyuki
H
Division of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan. sakuraihm@ybb.ne.jp
Kondo
Haruhiko
H
Sekiguchi
Akihiko
A
Naruse
Yoshihiro
Y
Makuuchi
Haruo
H
Suzuki
Kenji
K
Asamura
Hisao
H
Tsuchiya
Ryosuke
R
D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000601:surgery; D007839:Functional Laterality; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome