Successful pulmonary arterial embolization followed by curative surgery for a lepidic predominant lung adenocarcinoma with severe hypoxemia

Autor: Louise Sebane, Mostafa El-Hajjam, Philippe Puyo, Elisabeth Longchampt, Etienne Giroux Leprieur
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Surgery, Vol 18, Iss 1, Pp 1-3 (2018)
Druh dokumentu: article
ISSN: 1471-2482
DOI: 10.1186/s12893-018-0351-1
Popis: Abstract Background Lepidic predominant adenocarcinoma is characterized by frequent refractory hypoxemia due to intrapulmonary shunting. Severe hypoxemia can induce perioperative complications in case of thoracic surgery. Case presentation We report a case of a 67 year-old woman with localized lepidic adenocarcinoma in the right lower lobe with severe hypoxemia. A selective arterial lung embolization allowed an instantaneous correction of the hypoxemia, and a curative lobectomy was safely performed 1 week after without any complication. The staging was pT3N0M0, and the patient received adjuvant chemotherapy. Conclusions This is the first case-report of successful endovascular embolization before curative surgery for a lepidic predominant lung adenocarcinoma.
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