A case of primary pulmonary hypertension with pulmonary tumor.
A 64-year-old female with a 9-year history of primary pulmonary hypertension developed a solid pulmonary tumor. Partial lung resection was planned for diagnosis. Although prostacyclin was increased to 8 ng/kg/min, she did not tolerate the decubitus position and one-lung ventilation, and her pulmonary arterial pressure rose to 110/45 mmHg. While she underwent partial resection under two-lung ventilation in the decubitus position, bleeding occurred from the suture line closed by a linear stapler and was controlled by additional sutures. She was discharged home without postoperative complications on postoperative day 15. The pathological examination revealed a bronchioloalveolar carcinoma. If pulmonary resection becomes necessary in a similar patient, we will plan a partial resection with the patient in a supine position to prevent elevation of pulmonary arterial pressure.
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Masaomi
M
Ichinokawa
Yasuhiro
Y
Hida
Kichizo
K
Kaga
Masaya
M
Kawada
Hiroto
H
Niizeki
Satoshi
S
Kondo
D002282:Adenocarcinoma, Bronchiolo-Alveolar / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D011013:Pneumonectomy