![](/images/graphics-bg.png)
Emergent Completion Pneumonectomy for Postoperative Hemorrhage from Rupture of the Infected Pulmonary Artery in Lung Cancer Surgery
Joint Authors
Onitsuka, Toshio
Ayabe, Takanori
Nakamura, Kunihide
Tomita, Masaki
Yano, Mitsuhiro
Shimizu, Tetsuya M.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-07-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Completion pneumonectomy (CP) is one of the most difficult procedures and known to be associated with a high morbidity and mortality.
A 74-year-old male underwent a left upper lobectomy for pulmonary adenocarcinoma (T3N0M0); six days later after the surgery, he had a sudden postoperative intrathoracic excessive hemorrhage with shock.
Emergent redo thoracotomy was performed to treat the bleeding from the ablated interlobar pulmonary artery by suturing with prolene.
However, 3 days later after the second operation, he had the second intrathoracic bleeding.
Emergent CP was performed with cardiopulmonary bypass by anterior transpericarsial approach via a median sternotomy.
The hemorrhage was caused by a rupture of the proximal fragile and infected pulmonary artery.
We performed omentopexy for the infected intrathoracic cavity and for covering of the divided main bronchial stump.
We had a rare experience of two times of postoperative life-threatening hemorrhage from rupture of the infected pulmonary artery after left upper lobectomy.
Emergent CP as salvage surgery should have an advantage in control of infected proximal pulmonary arterial hemorrhage.
We should take care of tearing off of adventitia of pulmonary artery in lobectomy because of a possibility of postoperative hemorrhage under a fragility of the injured pulmonary artery with infection.
American Psychological Association (APA)
Ayabe, Takanori& Shimizu, Tetsuya M.& Tomita, Masaki& Yano, Mitsuhiro& Nakamura, Kunihide& Onitsuka, Toshio. 2011. Emergent Completion Pneumonectomy for Postoperative Hemorrhage from Rupture of the Infected Pulmonary Artery in Lung Cancer Surgery. Case Reports in Surgery،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-506607
Modern Language Association (MLA)
Ayabe, Takanori…[et al.]. Emergent Completion Pneumonectomy for Postoperative Hemorrhage from Rupture of the Infected Pulmonary Artery in Lung Cancer Surgery. Case Reports in Surgery No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-506607
American Medical Association (AMA)
Ayabe, Takanori& Shimizu, Tetsuya M.& Tomita, Masaki& Yano, Mitsuhiro& Nakamura, Kunihide& Onitsuka, Toshio. Emergent Completion Pneumonectomy for Postoperative Hemorrhage from Rupture of the Infected Pulmonary Artery in Lung Cancer Surgery. Case Reports in Surgery. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-506607
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-506607