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Case reports

New technique for pulmonary artery reconstruction

Service of Thoracic Surgery, Hospital Universitario Reina Sofía, Avda. Menéndez Pidal s/n, 14004 Córdoba, Spain

Received 26 January 2009; received in revised form 20 March 2009; accepted 24 March 2009.

^_* Corresponding author. Tel.: +34 957 010445; fax: +34 699613397. (Email: joseravich{at}hotmail.com).

Bronchial and vascular reconstructive procedures are a technically feasible alternative to pneumonectomy in lung cancer and have the advantage of preserving lung parenchyma function. Sleeve resection and prosthetic reconstruction of the pulmonary artery (PA) have progressively gained acceptance as an alternative to pneumonectomy in lung cancer surgery. To spare the lung parenchyma, angioplastic procedures involving removal of a portion of the arterial wall or a circumferential resection with arterial reconstruction have been used. Several techniques of pulmonary arterioplasty have been documented, such as patch reconstruction, end-to-end anastomosis, synthetic prosthesis, biological prosthesis, prosthetic or pericardial conduit. We present the first case reported in the literature of PA reconstruction with a pulmonary vein graft.

Key Words: Lung cancer • Sleeve resection • Pulmonary artery reconstruction