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Published on: March 8, 2019
Right completion pneumonectomy for impending rupture of a pulmonary artery pseudoaneurysm
Masatoshi Kanayama1, Yoshinobu Ichiki2, Fumihiro Tanaka2
1Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Japan. kana_yama_3387@yahoo.co.jp.
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.
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