title: Superior sulcus tumor resection with multiple pulmonary arteriovenous fistulas.
abstract: The authors present a case of a 66-year-old male presenting with a superior sulcus tumor and severe hypoxemia due to bilateral multiple pulmonary arteriovenous fistulas. The unilateral pulmonary arterial occlusion test was useful before surgery because it enabled evaluation of the feasibility and safety of intraoperative pulmonary artery clamp and one-lung ventilation during lung resection. Results facilitated safe resection of the superior sulcus tumor using the modified transmanubrial osteomuscular sparing approach, providing an excellent surgical field.
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan. Electronic address: hanaoka@belle.shiga-med.co.jp.
authors.forename: Jun
authors.initials: J
authors.lastname: Hanaoka
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
authors.forename: Yo
authors.initials: Y
authors.lastname: Kawaguchi
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hashimoto
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Ohshio
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Teramoto
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
authors.forename: Ryousuke
authors.initials: R
authors.lastname: Kaku
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D010178:Pancoast Syndrome / Q000150:complications* / Q000601:surgery*; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery