[Hemorrhage from the subclavian artery after lung cancer resection treated by stent graft placement].
We present a case of a 79-year-old man with right apical invasive lung cancer which was treated by induction radiotherapy followed by right upper lobectomy with chest wall resection. Four days after the operation, hemorrhage from the funicular structure in the cupula of the parietal pleura was observed, and hemostasis was achieved by ligation and fibrin sheet pasting. At the time, we were not able to detect the hemorrhage from the subclavian artery. Two days after the 1st hemostasis, hemorrhage reccurred. Hemorrhage from the inferior border of the subclavian artery was observed, and hemostasis was achieved by direct suture and fibrin sheet pasting. One day after the 2nd hemostasis, re-recurrent hemorrhage occurred. Stent graft placement was performed under local anesthesia. No hemorrhage occurred after the stent graft placement.
Department of Surgery, Nagoya City East Medical Center, Nagoya, Japan.
Katsuhiko
K
Endo
Takuya
T
Nakayama
Hisao
H
Suda
Hironori
H
Tanaka
Motoki
M
Hato
Syuji
S
Zennami
Katsumi
K
Nakamae
Tsutomu
T
Nishida
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006470:Hemorrhage / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D015607:Stents; D013348:Subclavian Artery / Q000601:surgery*; D016896:Treatment Outcome