Combined resection of the left common carotid artery and the left subclavian artery in a T4 lung cancer patient.

概要

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A 59-year-old man was admitted because of further examination for a tumorous shadow on his chest X-ray film. Chest CT and MR scanning revealed that the tumorous lesion originated from the left upper lobe and involved the left common carotid artery and the left subclavian artery. A right cerebral angiogram with Matas test during surgery demonstrated the left cerebral arteries speedily and clearly. Followingly, left upper lobectomy with combined resection of the left common carotid artery and the left subclavian artery was carried out. Through the experience of this case, we reconfirm the importance of the Matas test before surgery for the determination of the indication for the resection of the left common carotid artery and the left subclavian artery.
特定非営利活動法人日本呼吸器外科学会の論文