Surgical Treatment of a Patient with Aorto-pulmonary Fistula due to Thoracic Aortic Aneurysm Rupture Associated with Gastric Carcinoma.
10.4326/jjcvs.30.265
- VernacularTitle:胸部大動脈りゅう肺内破裂を呈した進行胃癌症例の緊急手術
- Author:
Shinya Motohashi
;
Shunya Shindo
;
Kenji Kubota
;
Atsuo Kojima
;
Tadao Ishimoto
;
Keiji Iyori
;
Masahiro Kobayashi
;
Yusuke Tada
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(5):265-267
- CountryJapan
- Language:Japanese
-
Abstract:
A 57-year-old man suffered hemoptysis during an examination for gastric carcinoma. Enhanced computed tomography demonstrated rupture of a thoracic aortic aneurysm to the left pulmonary lower lobe. The lateral segment of the liver was atrophic due to intrahepatic cholelithiasis. Emergency operation was performed after he was transferred to our hospital. The thoracic aorta was reconstructed using a temporary bypass and the pulmonary left lower lobe was resected. The omentum was mobilized and used to cover the prosthesis and bronchial stump. The gastric carcinoma and intrahepatic cholelithiasis with biliary stones in the common bile duct were treated in the next procedure. The pathologic examination revealed lymph node metastasis; thus this operation was recognized to be absolutely noncurative. The treatment of cardiovascular disease concomitant with malignancy remains controversial. The strategy to treat such patients is discussed in this report.
