Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Isolated Unilateral Absence of Pulmonary Artery Associated with Contralateral Lung Cancer

  • Kim, Kun Woo (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Lee, Jae-Ik (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Son, Kuk-Hui (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Kim, Eun Young (Department of Radiology, Gachon University Gil Medical Center) ;
  • Park, Kook-Yang (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Park, Chul-Hyun (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center)
  • Received : 2018.03.19
  • Accepted : 2018.04.11
  • Published : 2018.08.05
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Abstract

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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References

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  1. Left lung cancer in a patient with congenital unilateral absence of the left pulmonary artery: a case report and literature review vol.18, pp.None, 2020, https://doi.org/10.1186/s12957-020-1810-6
  2. Congenital isolated unilateral agenesis of pulmonary arteries in adults: case series and review vol.37, pp.suppl1, 2021, https://doi.org/10.1007/s12055-020-01032-w