Coiling of major aortopulmonary collateral arteries with agenesis of the left pulmonary artery prior to pneumonectomy.
The case of a patient with a left upper lobe lung tumor and unilateral agenesis of the left pulmonary artery with multiple aortopulmonary collaterals is discussed. Preoperative angiographic localization with embolization of the dominant multiple aortopulmonary collaterals allowed pneumonectomy to be performed safely with acceptable blood loss.
Redmond
Karen C
KC
Department of Thoracic Surgery, Royal Brompton Hospital, London, United Kingdom.
Mansfield
Lucy
L
Griffin
Nyree
N
Mullen
Michael
M
Dusmet
Michael
M
D000368:Aged; D001027:Aortography / Q000379:methods; D021721:Balloon Occlusion / Q000295:instrumentation* / Q000379:methods; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D003097:Collateral Circulation; D003131:Combined Modality Therapy; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging / Q000628:therapy; D019788:Fluorodeoxyglucose F18; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D011651:Pulmonary Artery / Q000002:abnormalities*; D013902:Radiography, Thoracic; D018570:Risk Assessment; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D019788:Fluorodeoxyglucose F18