Angioplasty of the Pulmonary Artery: Left Upper Lobectomy

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Angioplasty of the Pulmonary Artery: Left Upper Lobectomy

By Antonio Francisco Honguero Martínez 5 Videos

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December 12, 2018

A 52-year-old man was incidentally diagnosed of a 4.5-cm sized pulmonary adenocarcinoma after a chest ...
read more ↘ X-ray film. The tumor was closed to the pulmonary hilum, in closed contact with the left pulmonary artery. Signs of pulmonary artery invasion were seen on chest CT-scan. After induction chemotherapy, a left anterolateral thoracotomy was done as surgical approach, and a left upper lobectomy including a long patch of the pulmonary artery was performed. Pulmonary artery was reconstructed using an autologous pericardium free flap. A pericardial fat flap was pedicled to cover the bronchial stump and to protect the pulmonary artery reconstructed. Pathology analysis revealed just small milimetric foci of tumor after induction treatment. Lymph nodes were free of tumor.
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