Pulmonary intimal sarcoma treated by a left pneumonectomy with pulmonary arterioplasty under cardiopulmonary bypass: report of a case.
Intimal sarcoma of the pulmonary artery is a rare disease. This neoplasm was characterized by an aggressive extension to the lumen of the pulmonary artery, thus mimicking a pulmonary thromboembolism. We herein report a 44-year-old woman who was diagnosed as having primary intimal sarcoma of the left lung preoperatively by transbronchial biopsy. The tumor originated in the pulmonary artery in the left lung, extending to the main pulmonary trunk via the pulmonary arterial lumen, thus resulting in stenosis of the main pulmonary trunk. A complete resection of the tumor with the left pneumonectomy and the pulmonary arterioplasty was successfully performed under cardiopulmonary bypass with vacuum assisted venous drainage.
Nakajima
Jun
J
Department of Cardiothoracic Surgery and Human Pathology, The University of Tokyo Graduate School of Medicine, and Department of Surgery, Asahi General Hospital, Tokyo, 113-8655, Japan.
Morota
Tetsuro
T
Matsumoto
Jun
J
Takazawa
Yutaka
Y
Murakawa
Tomohiro
T
Fukami
Takeshi
T
Yamamoto
Tetsufumi
T
Takamoto
Shinichi
S
D000328:Adult; D002315:Cardiopulmonary Bypass; D005260:Female; D006801:Humans; D011013:Pneumonectomy; D011651:Pulmonary Artery; D012509:Sarcoma / Q000175:diagnosis / Q000601:surgery*; D017539:Tunica Intima; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods