Autotransplantation for central non-small-cell lung cancer in a patient with poor pulmonary function

Lung resection is the standard therapy for non-small-cell lung cancer confined to the lung. The extent of pulmonary resection is dictated by the location and extent of the tumor and the patient's physiologic ability to tolerate resection. We present the case of a patient who had a large non-sma...

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Bibliographic Details
Published in:Texas Heart Institute journal 2004, Vol.31 (4), p.360-362
Main Authors: Reardon, Michael J, Walkes, Jon-Cecil M, Rice, David C
Format: Article
Language:English
Subjects:
Bronchi - pathology
Bronchi - surgery
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Non-Small-Cell Lung - secondary
Carcinoma, Non-Small-Cell Lung - surgery
Fatal Outcome
Humans
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Lung Transplantation - methods
Male
Middle Aged
Neoplasm Invasiveness
Pulmonary Artery - pathology
Pulmonary Artery - surgery
Surgical Technique
Transplantation, Autologous
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Summary:Lung resection is the standard therapy for non-small-cell lung cancer confined to the lung. The extent of pulmonary resection is dictated by the location and extent of the tumor and the patient's physiologic ability to tolerate resection. We present the case of a patient who had a large non-small-cell tumor of the lung that involved the right main stem bronchus and the adjacent pulmonary artery; poor pulmonary function precluded a pneumonectomy. Right upper and middle sleeve bilobectomy resection was performed, but reconstruction was not possible due to tethering by the intact lower lobe vein. Therefore, the remaining lower lobe was removed, and the lower lobe vein was divided and reimplanted into the upper lobe pulmonary venous stump. Cephalad advancement and autotransplantation of the lower lobe were then accomplished. These procedures allowed enough mobilization for direct bronchial and arterial reconstruction.
ISSN:0730-2347