Autor: |
Yoshimi, Fuyo, Amemiya, Ryuta, Asato, Yuji, Koizumi, Sumihiko, Hasegawa, Hiroshi, Matsueda, Kiyoshi, Kobayashi, Hisashi, Itabashi, Masayuki, Ishikawa, Shinobu |
Zdroj: |
Surgery Today; Jun1994, Vol. 24 Issue 6, p570-573, 4p |
Abstrakt: |
Sleeve resection of the pulmonary artery, followed by reconstruction with or without bronchoplasty, for bronchogenic carcinoma located at a major lobar orifice has been reported as an alternative to pneumonectomy in patients with poor respiratory functional reserve. We describe herein what is, to our knowledge, the first, report of a successful pulmonary arterial reconstruction using a saphenous vein autograft. This operation was performed in a 63-year-old man with poor pulmonary functional reserve who was diagnosed as having a large bronchogenic cancer in the left lower lobe of the lung, located close to the pulmonary hilum. First, a left lower lobectomy was performed with segmental resection of the pulmonary artery, from the basal artery to the lingular artery, after which pulmonary arterial continuity was reconstructed using a saphenous vein autograft. The patient had an uneventful recovery and remains well without any sign of recurrence 4 months after his operation. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
Externí odkaz: |
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