Extended left pneumonectomy with intrapericardial arterial reconstruction under cardiopulmonary bypass

We present the case of a left pneumonectomy performed under cardiopulmonary bypass for a patient with advanced lung cancer. Given the tumour's proximity to critical structures, this case was particularly complex. We employed cardiopulmonary bypass to ensure haemodynamic stability and to maintain pulmonary and systemic circulation during the resection. This case highlights the utility of cardiopulmonary bypass in complex lung resections for central neoplastic diseases, providing a viable option for patients with high-risk tumours not always amenable to conventional surgical techniques.