Successful pulmonary artery stenting for occlusion at a constructed pericardial conduit after right upper double sleeve lobectomy

Tomoshi Tsuchiya*, Keitaro Matsumoto, Takuro Miyazaki, Ryoichiro Doi, Koichi Tomoshige, Hironosuke Watanabe, Soichiro Kiya, Takashi Miura, Hideki Ishimaru, Takeshi Nagayasu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)402-405
Number of pages4
JournalGeneral Thoracic and Cardiovascular Surgery
Volume70
Issue number4
DOIs
StatePublished - 2022/04

Keywords

  • Double sleeve lobectomy
  • Lung cancer
  • Pericardial conduit
  • Pulmonary artery stenting

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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