Sebane L, El-Hajjam M, Puyo P, Longchampt E, Giroux Leprieur E. Successful pulmonary arterial embolization followed by curative surgery for a lepidic predominant lung adenocarcinoma with severe hypoxemia.
BMC Surg 2018;
18:20. [PMID:
29631581 PMCID:
PMC5891942 DOI:
10.1186/s12893-018-0351-1]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Accepted: 03/28/2018] [Indexed: 12/25/2022] Open
Abstract
Background
Lepidic predominant adenocarcinoma is characterized by frequent refractory hypoxemia due to intrapulmonary shunting. Severe hypoxemia can induce perioperative complications in case of thoracic surgery.
Case presentation
We report a case of a 67 year-old woman with localized lepidic adenocarcinoma in the right lower lobe with severe hypoxemia. A selective arterial lung embolization allowed an instantaneous correction of the hypoxemia, and a curative lobectomy was safely performed 1 week after without any complication. The staging was pT3N0M0, and the patient received adjuvant chemotherapy.
Conclusions
This is the first case-report of successful endovascular embolization before curative surgery for a lepidic predominant lung adenocarcinoma.
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