Thorac Cardiovasc Surg 2011; 59(6): 378-380
DOI: 10.1055/s-0031-1280069
Case Reports
Thoracic
© Georg Thieme Verlag KG Stuttgart · New York

Permanent Cerebral Bypass Approach for Lung Cancer Resection with Aortic Arch Invasion

H. Suzuki1 , Y. Sekine2 , E. Ko1 , T. Sunazawa3 , H. Iida3 , H. Kishi4 , Y. Saitoh1
  • 1Department of Thoracic Surgery, Narita Red-Cross Hospital, Narita, Japan
  • 2Department of Thoracic Surgery, Tokyo Women's Medical University, Yachiyo, Japan
  • 3Department of Cardiovascular Surgery, Narita Red-Cross Hospital, Narita, Japan
  • 4Department of Pathology, Narita Red-Cross hospital, Narita, Japan
Further Information

Publication History

received April 12, 2011 resubmitted May 15, 2011

accepted May 25, 2011

Publication Date:
15 July 2011 (online)

Abstract

We report a case of a 54-year-old man with T4N0M0 non-small cell lung cancer directly invading the thoracic wall and aortic arch. He underwent neoadjuvant chemotherapy followed by en bloc resection of the tumor, lung, chest wall and aortic arch. Perfusion was maintained through femoral-femoral cardiopulmonary bypass, with permanent bypass to the arch vessels to avoid separate extracorporeal cerebral circulation. Total reconstructions of the chest wall and aortic arch were completed without the need for cardiac arrest. The final pathological diagnosis was squamous cell carcinoma, T4N0M0. The patient was discharged without major complications and has been free of disease for 20 months postoperatively.

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Dr. Yasuo Sekine, MD, PhD

Department of Thoracic Surgery
Tokyo Women's Medical University

477-96 Owada Shinden

276-8524 Yachiyo

Japan

Phone: +81 4 74 50 60 00

Fax: +81 4 74 58 70 58

Email: ysekine@tymc.twmu.ac.jp