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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS THORACIC PAPERS
The Journal of Cardiovascular Surgery 1999 October;40(5):749-51
Extended resection of the pulmonary artery and the aorta for primary lung cancer. Report of a case
Sugio K., Sakada T., Saito G., Maruyama R., Nishioka K., Tominaga R.*, Nakanishi Y.**, Hara N.**, Sugimachi K.
From the Department of Surgery II *Department of Cardiovascular Surgery and **Research Institute for Diseases of the Chest Faculty of Medicine, Kyushu University, Fukuoka, Japan
We report a case of squamous cell carcinoma of the lung in which a left pneumonectomy combined resection of the pulmonary artery and aorta was performed using a cardiopulmonary bypass. The bifurcation of the pulmonary artery was repaired with a pericardial patch and the descending aorta was replaced with an artificial vessel. Eleven months later, the patient underwent dissection of the contralateral mediastinal lymph nodes because of a recurrence of the disease. Even though pulmonary metastases have again recently appeared, he is alive and doing well two years after operation. To obtain a better prognosis in cases demonstrating an involvement of the bifurcation of pulmonary artery, more effective combined treatment still needs to be developed.