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Eur J Cardiothorac Surg 1999;15:530-532
© 1999 Elsevier Science NL


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Both atrial resection and superior vena cava replacement in sleeve pneumonectomy for advanced lung cancer

Michael Ernsta, Michael Kollerb, Rainer Grobholza, Rainer Moosdorfc

a Department of General Surgery, Philipps-University Marburg, 35043 Marburg, Baldingerstraße, Germany
b Department of Theoretic Surgery, Philipps-University Marburg, 35043 Marburg, Baldingerstraße, Germany
c Department of Cardiac Surgery, Philipps-University Marburg, 35043 Marburg, Baldingerstraße, Germany

Received 29 September 1998; received in revised form 31 December 1998; accepted 27 January 1999.

Corresponding Author. Tel.: +49-6421-286-443; fax: +49-6421-288-995; e-mail: www.ernst@uni-marburg.de

Extended sleeve pneumonectomy including removal of the superior vena cava, right atrium and parts of left atrium on cardiopulmonary bypass was successfully performed in a 40-year-old man. The tumour was histologically proven a T4 N1 stage with margins free from tumour. Adjuvant radiochemotherapy was administered postoperatively on an outpatient base. The patient did well for 7 months then he died from myocardial infarction due to metastatic infiltration of the right coronary artery. Other metastatic deposits were not found at autopsy. More data from extended pulmonary resections are required to demonstrate a benefit.

Key Words: Advanced lung cancer • Extended pulmonary resection • Cardiopulmonary bypass







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Copyright © 1999 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.