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Official Journal of the Italian Society of Thoracic Endoscopy
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Minerva Pneumologica 2000 June;39(2):79-82

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Extended resection of the pulmonary artery and the aorta for primary lung cancer. Report of a case

Sugio K., Sakada T., Saito G., Muruyama R., Nishioka K., Tominaga R., Nakanishi Y., Hara N., Sugimachi K.


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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.

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