VATS Left Pneumonectomy with Pericardial defect Clinical Case Examples

Yiping Wei Yuang Mao, Jianyong Zhang, Wenxiong Zhang, Yiming Wang and Dongliang Yu
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Dongliang Yu: Department of Cardiothoracic Surgery, the Second Affiliated Hospital of Nanchang University, Nanchang, People’s Republic of China

Cancer Therapy & Oncology International Journal, 2019, vol. 14, issue 5, 106-109

Abstract: We report the case of a 54-year-old asymptomatic male, who presented to us with Stage ⅡB squamous cell carcinoma of the lung. We performed video-assisted thoracoscopic surgery (VATS) left pneumonectomy. During VATS, a complete left-sided absence of the pericardium was unexpectedly discovered, but we did not convert to a thoracotomy. We reviewed the preoperative chest CT, which showed the left heart was abnormal to the left, but the left pericardial defect was not obvious. If the patient is asymptomatic, complete pericardial defects usually do not endanger the patient’s life, even in left pneumonectomy, there is no need for surgical repair. VATS left pneumonectomy with pericardial defect may lead to arrhythmia and a decrease in blood pressure, but as long as attention is paid to protecting the outer membrane of the heart, the coronary artery, and the vein of the heart during separation of adhesion，it is not necessary to convert to a thoracotomy. In conclusion, discovery of a pericardial defect during a VATS left pneumonectomy is not an indication of thoracotomy.

Keywords: juniper publishers:oncology journals; oncology research journals; oncology journal articles; oncology and cancer case reports; oncology journal of clinical and experimental cancer research; open access; open access journals; Oncology International Journal; juniper publishers reivew (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:adp:jctoij:v:14:y:2019:i:5:p:106-109

DOI: 10.19080/CTOIJ.2019.14.555898

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