Superior sulcus tumor resection with multiple pulmonary arteriovenous fistulas

Jun Hanaoka; Yo Kawaguchi; Masayuki Hashimoto; Yasuhiko Ohshio; Koji Teramoto; Ryousuke Kaku

doi:10.1016/j.athoracsur.2014.06.073

Superior sulcus tumor resection with multiple pulmonary arteriovenous fistulas

Ann Thorac Surg. 2014 Sep;98(3):e67-8. doi: 10.1016/j.athoracsur.2014.06.073.

Authors

Jun Hanaoka¹, Yo Kawaguchi², Masayuki Hashimoto², Yasuhiko Ohshio², Koji Teramoto², Ryousuke Kaku²

Affiliations

¹ Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan. Electronic address: [email protected].
² Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan.

PMID: 25193224
DOI: 10.1016/j.athoracsur.2014.06.073

Abstract

The authors present a case of a 66-year-old male presenting with a superior sulcus tumor and severe hypoxemia due to bilateral multiple pulmonary arteriovenous fistulas. The unilateral pulmonary arterial occlusion test was useful before surgery because it enabled evaluation of the feasibility and safety of intraoperative pulmonary artery clamp and one-lung ventilation during lung resection. Results facilitated safe resection of the superior sulcus tumor using the modified transmanubrial osteomuscular sparing approach, providing an excellent surgical field.

Publication types

Case Reports

MeSH terms

Aged
Arteriovenous Fistula / complications*
Arteriovenous Fistula / surgery*
Humans
Male
Pancoast Syndrome / complications*
Pancoast Syndrome / surgery*
Pulmonary Artery / abnormalities*
Pulmonary Artery / surgery
Pulmonary Veins / abnormalities*
Pulmonary Veins / surgery

Supplementary concepts

Pulmonary Arteriovenous Fistulas