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Surgery for a Metastatic Tumor in the Right Lung in Case of Congenital Left Pulmonary Artery Defect Toru Kawakami 1 , Saori Shibata 1 , Ken Onodera 1 , Nobuyuki Sato 1 1Department of Thoracic Surgery, Aomori Prefectural Central Hospital Keyword: unilateral absence of pulmonary artery , metastatic lung cancer , lung resection , hypoplasia of lung pp.434-437
Published Date 2018/6/1
DOI https://doi.org/10.15106/j_kyobu71_434
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Unilateral absence of a pulmonary artery (UAPA) is a rare congenital cardiovascular malformation and clinical experience of the surgery for this disease are limiting. We report a case of 62-year-old woman of UAPA (absence of left pulmonary artery) underwent a wedge resection of right lung for metastatic lung cancer. The surgery was performed under double lung ventilation because abnormal lung does not contribute to gas exchange. We were able to perform a wedge resection easily by setting the thoracotomy wound right above the tumor in the spine position. In a performing thoracic surgery under double lung ventilation, the position of surgical wound is very important. Therefore, although the diagnosis of this disease is difficult for the rarity and its nonspecific presentation, preoperative diagnosis of UAPA is very important.


© Nankodo Co., Ltd., 2018

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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