Successful pulmonary artery stenting for occlusion at a constructed pericardial conduit after right upper double sleeve lobectomy.
Tomoshi TsuchiyaKeitaro MatsumotoTakuro MiyazakiRyoichiro DoiKoichi TomoshigeHironosuke WatanabeSoichiro KiyaTakashi MiuraHideki IshimaruTakeshi NagayasuPublished in: General thoracic and cardiovascular surgery (2022)
The patient was a 53-year-old man. His chief complaint was a cough and dyspnea on exertion. Computed tomography (CT) showed a 3-cm-diameter tumor in the right upper lobe with invasion from hilar lymph nodes to the superior vena cava, right main bronchus, and pulmonary artery. After being diagnosed with non-small cell lung cancer, the patient underwent preoperative induction radiochemotherapy. At surgery, right upper double sleeve lobe lobectomy was performed. The right main pulmonary artery was reconstructed using a pericardial conduit. CT 1 week after surgery showed impaired blood flow in the right pulmonary artery. A metal vascular stent was inserted into the narrow part of the constructed pulmonary artery in the hybrid operating room because thrombectomy was unsuccessful. After surgery, contrast CT showed that blood flow was maintained. The patient is currently well without any recurrence 3 years after surgery.
Keyphrases
- pulmonary artery
- blood flow
- computed tomography
- coronary artery
- pulmonary hypertension
- pulmonary arterial hypertension
- dual energy
- contrast enhanced
- image quality
- case report
- vena cava
- positron emission tomography
- lymph node
- magnetic resonance imaging
- wastewater treatment
- minimally invasive
- randomized controlled trial
- patients undergoing
- squamous cell carcinoma
- cell migration
- coronary artery bypass
- acute ischemic stroke
- early stage
- optic nerve
- optical coherence tomography