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KMID : 0364020180510040280
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Korean Journal of Thoracic and Cardiovascular Surgery
2018 Volume.51 No. 4 p.280 ~ p.282
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Isolated Unilateral Absence of Pulmonary Artery Associated with Contralateral Lung Cancer
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Kim Kun-Woo
Lee Jae-Ik
Son Kuk-Hui
Kim Eun-Young
Park Kook-Yang
Park Chul-Hyun
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Abstract
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Unilateral absence of a pulmonary artery (UAPA) is a rare congenital anomaly that may present with various symptoms, depending on the nature and severity of other cardiovascular anomalies. Furthermore, contralateral lung surgery in patients with UAPA is extremely rare, and clinical experience is limited. This report describes a case of surgical treatment of contralateral primary lung cancer in a patient with isolated UAPA. A 56-year-old man was diagnosed with primary lung cancer accompanied by isolated UAPA on the contralateral side. He underwent meticulous cardiorespiratory function tests preoperatively. We performed a right lower lobectomy. Although in the immediate postoperative period, the patient suffered from a mild decline in his respiratory function, he recovered uneventfully. The present case shows that preoperative awareness of UAPA and meticulous perioperative management enable contralateral lung surgery to be performed safely.
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KEYWORD
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Unilateral absence of pulmonary artery, Lung neoplasms, Surgery, Perioperative care
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