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VATS Left Pneumonectomy with Pericardial defect Clinical Case Examples

Author

Listed:
  • Yuang Mao, Yiping Wei
  • Jianyong Zhang
  • Wenxiong Zhang
  • Yiming Wang
  • Dongliang Yu

    (Department of Cardiothoracic Surgery, the Second Affiliated Hospital of Nanchang University, Nanchang, People’s Republic of China)

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.

Suggested Citation

  • Yuang Mao, Yiping Wei & Jianyong Zhang & Wenxiong Zhang & Yiming Wang & Dongliang Yu, 2019. "VATS Left Pneumonectomy with Pericardial defect Clinical Case Examples," Cancer Therapy & Oncology International Journal, Juniper Publishers Inc., vol. 14(5), pages 106-109, August.
    • Handle: RePEc:adp:jctoij:v:14:y:2019:i:5:p:106-109
    DOI: 10.19080/CTOIJ.2019.14.555898
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