Open AccessNon‐incisional pleurectomy/decortication for malignant mesothelioma after cardiac surgery
Author(s) -
Miura Kentaro,
Shimizu Kimihiro,
Hasegawa Seiki,
Koike Sachie,
Matsuoka Shunichiro,
Takeda Tetsu,
Eguchi Takashi,
Hamanaka Kazutoshi,
Takizawa Momoko
Publication year - 2022
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.14231
Subject(s) - medicine , extrapleural pneumonectomy , decortication , pleurectomy , surgery , mesothelioma , median sternotomy , pericardium , pneumonectomy , lung , pathology , peritoneal mesothelioma
A 70‐year‐old man diagnosed with right‐sided malignant epithelial pleural mesothelioma, underwent pleurectomy/decortication after three courses of neoadjuvant chemotherapy. He had a history of mitral valve replacement and maze procedure with median sternotomy, and the procedures resulted in strong adhesion from the apex to the mediastinal side. In particular, the peeling of the area where the tumor invaded the pericardium required the most attention; however, the involved pericardium could be partially resected without damaging the right atrium. Finally, en bloc macroscopic complete resection with the entire pleura was successfully performed without conversion to extrapleural pneumonectomy.