Demonstrates the feasibility of complex surgical resection and reconstruction for lung tumors extending into the pulmonary artery using percutaneous cardiopulmonary support.
May support individualized surgical evaluation for rare pulmonary tumors with vascular extension; leaves open prospective outcome data.
We report on successful surgical treatment of a 49-year-old female suffering from malignant fibrous histiocytoma which arose from the lower lobe of the right lung with gross extension into the right main pulmonary artery, mimicking pulmonary thromboembolism. With the aid of a percutaneous cardiopulmonary support system, right pneumonectomy with resection of the right main pulmonary artery and reconstruction of the pulmonary artery was performed. Surgical management and the unique clinicopathological features of this case are discussed.
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Higashiyama et al. (1993) studied this question.
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