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Chest Surgery pp 209-216 | Cite as

Vascular Sleeve Resection

  • Bernward PasslickEmail author
Chapter
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

The pulmonary artery (PA) may be infiltrated by primary lung tumors, lung metastasis, or lymph node metastasis infiltrating the vessel by extracapsular growth. The right and left PAs may be infiltrated to a various extent, ranging from partial infiltration to complete involvement of all vascular structures. Most often, the left central PA is involved because of its proximity to the left upper lobe bronchus. In the case of partial infiltration, a simple tangential resection and a direct suture might be sufficient. With larger defect reconstruction by applying a patch (autologous pericardium, bovine pericardium, azygos vein, or synthetic material), a sleeve resection or conduit implantation might be necessary.

Selected Bibliography

  1. Ma Z, Dong A, Fan J et al (2007) Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favourable results for non-small cell lung cancer compared with pneumonectomy? A meta analysis. Eur J Cardiothorac Surg 32:20–28PubMedCrossRefGoogle Scholar
  2. Rendian EA, Venuta F, De Giacomo T et al (1995) Reconstruction of the pulmonary artery by a conduit of autologous pericardium. J Thorac Cardiovasc Surg 110:867–868CrossRefGoogle Scholar
  3. Venuta F, Ciccone AM, Anile M et al (2009) Reconstruction of the pulmonary artery for lung cancer: long-term results. J Thorac Cardiovasc Surg 138(5):1185–1191PubMedCrossRefGoogle Scholar
  4. Vogt-Moykopf I, Toomes H, Heinrich S (1983) Sleeve resection of the bronchus and pulmonary artery for pulmonary lesions. Thorac Cardiovasc Surg 31:193–198PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Thoracic SurgeryUniversity Medical Center FreiburgFreiburgGermany

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