ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Extended left pneumonectomy and left atrial reconstruction with autogenous graft in patient with T4 lung cancer
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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