Korean J Thorac Cardiovasc Surg.  2004 Feb;37(2):180-183.

Surgical Treatment of T4 Lung Cancer with the Use of Extracorporeal Circulation: A case report of long-term survival

• Cho KD
• Jo MS
• Yoon JS
• Kim CK
• Kwack MS

Abstract

We report a case of a patient with lung cancer, which invaded the left atrium and pericardium. Right middle and lower lobectomy was performed with the use of the extracorporeal circulation. Postoperative pathologic examination revealed the stage of IIIB (T4N1M0). Although the postoperative clinical course was complicated by acute localized right sided pulmonary edema and the bronchopleural fistula, the patient recovered smoothly after the procedure of omentopexy with pedicled graft of greater omentum in closing the BPF. As of August 2003, he has been followed up for 6 years and he is healthy without any evidence of recurrence. We could not find any report concerning lung cancer resection using cardiopulmonary bypass in Korean literature and believe this is the first report, especially with long-term survival.

Keyword

Lung neoplasm; Neoplasm staging; Extracorporeal circulation; Neoplasm invasiveness

MeSH Terms

Cardiopulmonary Bypass
Extracorporeal Circulation*
Fistula
Heart Atria
Humans
Lung Neoplasms*
Lung*
Neoplasm Invasiveness
Neoplasm Staging
Omentum
Pericardium
Pulmonary Edema
Recurrence
Transplants