A two-stage approach to a patient with hydatid cysts inside the right pulmonary artery and multiple right lung involvement.
We report on the surgical treatment of a patient in whom hydatid cysts inside the right pulmonary artery and multiple right lung involvement were detected. Since the right pneumonectomy carried a high risk of cyst rupture, and migration of the cysts to the opposite lung during ligation of the pulmonary artery, a two-stage surgical approach was scheduled. Hydatid cysts located at the proximal pulmonary artery were removed by performing a longitudinal arteriotomy along the pulmonary artery to the bifurcation. Subsequently, a right pneumonectomy was performed on a safe right pulmonary artery in a different session.
Koksal
Cengiz
C
Department of Cardiovascular Surgery, Sureyyapasa Thoracic and Cardiovascular Diseases Teaching and Research Hospital, Maltepe, Istanbul, Turkey.
Baysungur
Volkan
V
Okur
Erdal
E
Sarikaya
Sabit
S
Halezeroglu
Semih
S
Halezaroglu
Semih
S
D000328:Adult; D003937:Diagnosis, Differential; D004445:Echinococcosis, Pulmonary / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D018810:Magnetic Resonance Angiography; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D011651:Pulmonary Artery / Q000469:parasitology* / Q000601:surgery; D014057:Tomography, X-Ray Computed