title: Successful lung lobectomy for a lung cancer following thoracic endovascular aortic repair for a thoracic aortic aneurysm: report of a case.
abstract: Lung cancer and a thoracic aortic aneurysm were detected simultaneously in a 79-year-old male patient with diabetes. The aneurysm was first treated by thoracic endovascular aortic repair. A right lower lobectomy was subsequently performed after the blood flow of the bronchial and intercostal arteries was confirmed by computed tomographic angiography. The bronchial stump was covered with an intercostal muscle flap. The patient's postoperative course was uneventful. Thoracic endovascular aortic repair is a useful and less invasive treatment for such cases, but a blood flow evaluation of the aortic branches should be done following this procedure before a lung resection is considered.
authors.affiliation: Department of Thoracic Surgery, Ina Central Hospital, Ina, Japan, tks1976@shinshu-u.ac.jp.
authors.forename: Takashi
authors.initials: T
authors.lastname: Eguchi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Fukui
authors.forename: Keiichiro
authors.initials: K
authors.lastname: Takasuna
authors.forename: Yuko
authors.initials: Y
authors.lastname: Wada
authors.forename: Jun
authors.initials: J
authors.lastname: Amano
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yoshida
mesh_terms: D000368:Aged; D000792:Angiography; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001981:Bronchial Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D007366:Intercostal Muscles / Q000098:blood supply; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D013902:Radiography, Thoracic; D012039:Regional Blood Flow; D013895:Thoracic Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome