Right completion pneumonectomy for impending rupture of a pulmonary artery pseudoaneurysm.

Abstract

We present a case of right completion pneumonectomy for a pulmonary artery pseudoaneurysm after right upper lobectomy and radiotherapy for metachronous multiple right lung cancers. An 80-year-old man was referred to our hospital because of repeated hemoptysis. Computed tomography revealed a pseudoaneurysm in an interlobar pulmonary artery. We considered hemoptysis as a sign of impending rupture. Radiologists could not recommend embolization because of a high risk of rupture or pulmonary infarction, and re-hemoptysis due to coil movement; therefore, we performed right completion pneumonectomy because of severe adhesion. At last, the patient has completely recovered from impending rupture status.

• Authors: Masatoshi Kanayama, Yoshinobu Ichiki, Fumihiro Tanaka
• Journal: General thoracic and cardiovascular surgery (Gen Thorac Cardiovasc Surg) Vol. 67 Issue 6 Pg. 558-560 (Jun 2019) ISSN: 1863-6713 [Electronic] Japan
• PMID: 30062621 (Publication Type: Case Reports, Journal Article)

Topics

• Aged, 80 and over
• Aneurysm, False (surgery)
• Hemoptysis (etiology)
• Humans
• Male
• Pneumonectomy (methods)
• Pulmonary Artery (surgery)
• Rupture (prevention & control)
• Treatment Outcome