Key result
Left pneumonectomy with aortic arch resection succeeds in lung cancer but yields ~10-month survival.
Case Report (n=1)
Extensive resection with selective cerebral perfusion may be feasible in selected patients with lung cancer invading the aortic arch.
Demonstrates technical feasibility of pneumonectomy with aortic arch resection in one T4 case; leaves open survival benefit and need for prospective data.
An extensive operation for lung cancer invading the aortic arch is reported. A 66-year-old man presented the recent onset of hoarseness. Chest computed tomography and magnetic resonance imaging demonstrated a tumor of the Botallo lymph node invading the aortic arch. Left pneumonectomy with combined resection of the aortic arch was performed with the use of brain-isolated cardiopulmonary bypass. The aortic arch was resected and replaced by an artificial graft. Pathological examination revealed a primary lesion of adenocarcinoma in the left upper lobe and contiguous lymph node involvement, pT4N2M0. He was discharged and followed as an outpatient, however he died of miswallowing 10 months later. Such an extensive operation may be of value in selected patients.
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Okubo et al. (1996) conducted a case report in Lung cancer invading the aortic arch (n=1). Left pneumonectomy with combined resection of the aortic arch using brain-isolated cardiopulmonary bypass was evaluated on Clinical outcome. Left pneumonectomy with combined resection of the aortic arch was successfully performed in a 66-year-old man with lung cancer, though he died of miswallowing 10 months later.
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