Extensive resection with selective cerebral perfusion for a lung cancer invading the aortic arch

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Abstract
An extensive operation for lung cancer invading the aortic arch isreported. A 66-year-old man presented the recent onset of hoarseness. Chestcomputed tomography and magnetic resonance imaging demonstrated a tumor ofthe Botallo lymph node invading the aortic arch. Left pneumonectomy withcombined resection of the aortic arch was performed with the use ofbrain-isolated cardiopulmonary bypass. The aortic arch was resected andreplaced by an artificial graft. Pathological examination revealed aprimary lesion of adenocarcinoma in the left upper lobe and contiguouslymph node involvement, pT4N2M0. He was discharged and followed as anoutpatient, however he died of miswallowing 10 months later. Such anextensive operation may be of value in selected patients.

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