• Eur J Cardiothorac Surg · Apr 1999

    Case Reports

    Both atrial resection and superior vena cava replacement in sleeve pneumonectomy for advanced lung cancer.

    • M Ernst, M Koller, R Grobholz, and R Moosdorf.
    • Department of General Surgery, Philipps-University Marburg, Germany. www.ernst@uni-marburg.de
    • Eur J Cardiothorac Surg. 1999 Apr 1; 15 (4): 530-2.

    AbstractExtended sleeve pneumonectomy including removal of the superior vena cava, right atrium and parts of left atrium on cardiopulmonary bypass was successfully performed in a 40-year-old man. The tumour was histologically proven a T4 N1 stage with margins free from tumour. Adjuvant radiochemotherapy was administered postoperatively on an outpatient base. The patient did well for 7 months then he died from myocardial infarction due to metastatic infiltration of the right coronary artery. Other metastatic deposits were not found at autopsy. More data from extended pulmonary resections are required to demonstrate a benefit.

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