Video-assisted thoracoscopic surgery in the treatment of non-small-cell lung cancer complicated with left atrial tumor thrombus

Thoracic Cancer
Fei XiaoYongqing Guo

Abstract

We report a case of pulmonary squamous cell carcinoma complicated with a tumor thrombus in the left atrium. The left atrial tumor thrombus, together with the left lower lobe, was removed via complete video-assisted thoracoscopic surgery (VATS), with cardiopulmonary bypass standby. The patient recovered well from surgery, received four cycles of postoperative chemotherapy, and is now under follow-up at the outpatient clinic. Although the optimal treatment is still controversial, simultaneous VATS and atriotomy under the premise of preoperative evaluation of the thrombus, including size and extent, might prevent systemic embolization and sudden death, alleviate the wound, promote postoperative rehabilitation, and improve prognosis in selected patients.

References

Jun 30, 2004·The Annals of Thoracic Surgery·Giovanni B RattoPaolo Bruzzi
Dec 27, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Karsten WiebeAxel Haverich
Dec 1, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Viroj Wiwanitkit
May 14, 2010·Journal of Thoracic Imaging·Quan Sing Ng, Vicky Goh
Aug 4, 2010·Journal of the National Comprehensive Cancer Network : JNCCN·David S EttingerUNKNOWN NCCN Non-Small Cell Lung Cancer Panel Members
Jul 2, 2011·The Annals of Thoracic Surgery·György LangWalter Klepetko
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Feb 9, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alberto PozzoliMassimo A Mariani
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Jun 3, 2014·Asian Cardiovascular & Thoracic Annals·Dong XieGening Jiang

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Methods Mentioned

BETA
biopsy
dissection

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