Extended left pneumonectomy and left atrial reconstruction with autogenous graft in patient with T4 lung cancer

Bülent Aydemir

doi:10.5606/tgkdc.dergisi.2018.15154

Bülent Aydemir¹, Hakan Gerçekoğlu², Eyüp Halit Yardımcı¹, Melek Didem Peköz¹, Tamer Okay¹

¹Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
²Department of Cardiovascular Surgery, Bahçeşehir University Medical Park Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2018.15154

In selective patients with T4 non-small cell lung cancer with the primary tumor invading the mediastinal organs, extended lung resection may contribute to long-term survival. Adequate patients should be given a chance for surgery if complete resection and required reconstruction can be achieved. In this article, we report a 63-year-old male patient with T4 non-small cell lung cancer invading the left atrium. In the patient, we performed an extended left pneumonectomy with en bloc partial resection of the left atrium wall (4×2.5 cm) where the defect was repaired with pericardial patch via cardiopulmonary bypass. No severe complication developed postoperatively. The patient who was given adjuvant chemotherapy has been living for more than 10 years without disease.

Keywords : Cardiopulmonary bypass; locally advanced lung cancer; resection of left atrium

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