Journal of

Case Reports and Images in Surgery

 
  Table of Contents    
Case Report
 
Pulmonary artery repair following resection of a primary pulmonary sarcoma
Andrew S. Kaufman1, Philip S. Mullenix1, John S. Thurber2, Daniel G. Nicastri3
1Walter Reed National Military Medical Center, Department of Surgery, 8901 Rockville Pike, Bethesda, MD.
2University of Alabama at Birmingham, Department of Surgery, Division of Cardiovascular and, Thoracic Surgery, 1900 University Blvd, Birmingham, AL.
3cahn School of Medicine at Mount Sinai, Department of Thoracic Surgery; Box 1023, One Gustave L. Levy Place, New York, NY.

Article ID: 100040Z12AK2017
doi:10.5348/Z12-2017-40-CR-5

Address correspondence to:
Andrew S. Kaufman
Walter Reed National Military Medical Center
Department of Surgery
8901 Rockville Pike
Bethesda

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How to cite this article:
Kaufman AS, Mullenix PS, Thurber JS, Nicastri DG. Pulmonary artery repair following resection of a primary pulmonary sarcoma. J Case Rep Images Surg 2017;2:17–20.


Abstract
Introduction: Pulmonary sarcomas, which account for less than 0.5% of lung cancers, present a diagnostic and therapeutic challenge.
Case Report: A 34-year-old healthy male initially presented with left shoulder pain. Imaging showed a left hilar mass–later found to be primary pulmonary synovial sarcoma on further work-up and biopsy. The patient underwent a left upper lobectomy with pulmonary arterioplasty on femoral access cardiopulmonary bypass. On final pathology, the specimen contained positive margins requiring a challenging re-operative completion pneumonectomy.
Conclusion: The authors advocate for aggressive initial resection to avoid the need for reoperation or possible delay of adjuvant radiation and chemotherapy.

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Author Contributions:
Andrew S. Kaufman – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published.
Philip S. Mullenix – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published.
John S. Thurber – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published.
Daniel G. Nicastri – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published.
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© 2017 Andrew S. Kaufman et al. This article is distributed of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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