Open AccessKirurško zdravljenje raka pljuč z razširjeno levo pnevmonektomijo in resekcijo dela prsne aorte pri bolnici z masivno hemoptizo – Prikaz primera
Author(s) -
Boris Greif,
Tomislav Klokočovnik,
Tomaž Štupnik
Publication year - 2016
Publication title -
zdravniški vestnik
Language(s) - English
Resource type - Journals
eISSN - 1581-0224
pISSN - 1318-0347
DOI - 10.6016/zdravvestn.1325
Subject(s) - medicine , bronchiectasis , pneumonectomy , lung , surgery , descending aorta , lung cancer , pulmonary trunk , airway , aorta , thoracic aorta , resection , cardiology
Severe airway bleeding or massive hemoptysis is a rare condition that carries high mortality. Patients are at risk of life-thretening respiratory compromise due to the airways filling with blood. The main principles in the management of massive hemoptysis are: maintainance of airway patency, localization of the source of bleeding and control of the hemorrhage. Most cases of massive hemoptysis are caused by inflammatory lung diseases such as aspergiloma, tuberculosis and bronchiectasis while a severe bleeding from a malignant lung tumor is a rare find.We present a case of massive hemoptysis in a 60-year old woman, caused by the invasion of lung cancer into the left pulmonary trunk and aorta, which was successfully managed by an extended left pneumonectomy, with the resection of the proximal part of the descending thoracic aorta and interposition of a vascualar graft without extra corporeal circulation. A complete (R0) resection was also achieved.