A two-stage approach to a patient with hydatid cysts inside the right pulmonary artery and multiple right lung involvement
Koksal, C.; Baysungur, V.; Okur, E.; Sarikaya, S.; Halezeroglu, S.; Halezaroglu, S.
Annals of Thoracic and Cardiovascular Surgery Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia 12(5): 349-351
2006
ISSN/ISBN: 1341-1098 PMID: 17095977 Document Number: 603972
We report on the surgical treatment of a patient in whom hydatid cysts inside the right pulmonary artery and multiple right lung involvement were detected. Since the right pneumonectomy carried a high risk of cyst rupture, and migration of the cysts to the opposite lung during ligation of the pulmonary artery, a two-stage surgical approach was scheduled. Hydatid cysts located at the proximal pulmonary artery were removed by performing a longitudinal arteriotomy along the pulmonary artery to the bifurcation. Subsequently, a right pneumonectomy was performed on a safe right pulmonary artery in a different session.