Pulmonary artery obstruction due to a metastatic malignant phyllodes tumor of the breast
| Autor: | Yutaka Sakakibara, Takaaki Koshiji, Koji Hagio, Mitsuhiko Kitaoka, Yuichiro Arima, Masanosuke Ishigami, Taro Nakatsu |
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| Rok vydání: | 2010 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment Arterial Occlusive Diseases Breast Neoplasms Constriction Pathologic Unconsciousness Ventricular Septum Pulmonary Artery Chest pain Heart Neoplasms Asphyxia Fatal Outcome Tracheotomy Phyllodes Tumor medicine.artery Humans Medicine Cardiac Surgical Procedures Aged business.industry Glasgow Coma Scale Phyllodes tumor General Medicine medicine.disease Surgery Pulmonary embolism Cardiac surgery Treatment Outcome Cardiothoracic surgery Pulmonary artery Female Radiology medicine.symptom Pulmonary Embolism Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 58:423-426 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-009-0556-4 |
| Popis: | A 65-year-old woman with a 9-year surgical history of a left breast phyllodes tumor was admitted with progressive chest pain on effort. Computed tomography showed severe stenosis of the main pulmonary artery, with the mass originating from the ventricular septum. We planned to resect the tumor the next day. However, the next morning a pulmonary artery embolism occurred, and she developed dyspnea and lost consciousness. After carrying out cardiopulmonary resuscitation, we performed a life-saving operation. We successfully resected the huge tumor as far as possible from the right ventricle via a right atrial (RA)-tomy. However, her consciousness did not improve to better than Glasgow Coma Scale grade 7. She died from suffocation caused by metastasis invading her airway despite undergoing tracheotomy on the 77 th postoperative day. |
| Databáze: | OpenAIRE |
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