Ex situ sleeve resection and autotransplantation of the left lower pulmonary lobe after extended pneumonectomy
Hendrix, H.; Schmitt, J.; Aebert, H.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 71(7): 820-823
2000
ISSN/ISBN: 0009-4722 PMID: 10986604 Document Number: 522408
A 69-year-old patient with reduced pulmonary function was diagnosed as suffering from non-small cell lung cancer of the left lung invading the main bronchus, pulmonary artery and left atrium. Staging examinations were negative. Using cardiopulmonary bypass, an extended pneumonectomy with partial resection of the left atrium was performed. The cardiac defect was closed with a pericardial patch. The lower lobe was divided ex situ from the upper lobe and reimplanted with anastomosis of the lower pulmonary vein to the left auricle. After a totally uneventful course the patient is in good condition and free of tumor recurrence 2.5 years postoperatively.