Percutaneous Cardiopulmonary Support of Video-Assisted Metastasectomy for a Patient with Lung Cancer Following Pneumonectomy

• Suzuki Toshiaki

  Department of Thoracic Surgery, Tokyo Jikei University of Medicine, Tokyo, Japan

• Akiba Tadashi

  Department of Thoracic Surgery, Tokyo Jikei University of Medicine, Tokyo, Japan

• Hiramatsu Miyako

  Department of Thoracic Surgery, Tokyo Jikei University of Medicine, Tokyo, Japan

• Matsudaira Hideki

  Department of Thoracic Surgery, Tokyo Jikei University of Medicine, Tokyo, Japan

• Hirano Jun

  Department of Thoracic Surgery, Tokyo Jikei University of Medicine, Tokyo, Japan

• Odaka Makoto

  Department of Thoracic Surgery, Tokyo Jikei University of Medicine, Tokyo, Japan

• Morikawa Toshiaki

  Department of Thoracic Surgery, Tokyo Jikei University of Medicine, Tokyo, Japan

Abstract

We describe herein a case of a 68-year-old woman with primary lung cancer who had undergone induction chemoradiotherapy and then a right pneumonectomy for non-small cell cancer (adenocarcinoma). Twenty-one months later, the cancer had metastasized to the brain, which was treated with 2-knife radiosurgery. She had been well for up to 32 months; however, the chest radiography and chest computed tomography (CT) demonstrated a nodule in the left upper lobe of the lung that was gradually growing. We preformed a partial resection of the left upper lobe by video-assisted thoracic surgery (VATS) under percutaneous cardiopulmonary support (PCPS), considering the oxygenation requirement of the patient. PCPS was applied via venoarterial (V-A) bypass, and the hemodynamic status of the patient was mostly stable. The postoperative course was uneventful, and the patient has no evidence of metastatic lung cancer, 10 months postoperatively, indicating that the minimally invasive VATS under PCPS was successful and safe. Although few reports have been described and some key questions remain unanswered, the method appears to be promising.

Journal

• Annals of Thoracic and Cardiovascular Surgery

  Annals of Thoracic and Cardiovascular Surgery 17 (1), 45-47, 2011

  The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

Keywords

• lung
• lung cancer
• lung cancer surgery
• percutaneous cardiopulmonary support
• pneumonectomy

Details

• CRID: 1390001204728369920
• NII Article ID: 10029686339
• NII Book ID: AA11035352
• DOI: 10.5761/atcs.cr.09.01468
• ISSN: 21861005
• ISSN: 13411098
• Web Site: https://search.jamas.or.jp/link/ui/2011336072
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed