Pulmonary Artery Reconstruction With Pulmonary Vein Conduit for Lung Cancer: Medium-Term Results Antonio D'Andrilli, MD, Giulio Maurizi, MD, Claudio.

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Presentation transcript:

Pulmonary Artery Reconstruction With Pulmonary Vein Conduit for Lung Cancer: Medium-Term Results Antonio D'Andrilli, MD, Giulio Maurizi, MD, Claudio Andreetti, MD, PhD, Anna Maria Ciccone, MD, Mohsen Ibrahim, MD, PhD, Camilla Poggi, MD, Federico Venuta, MD, Erino A. Rendina, MD The Annals of Thoracic Surgery Volume 98, Issue 3, Pages 990-995 (September 2014) DOI: 10.1016/j.athoracsur.2014.04.110 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative view of pulmonary vein conduit preparation. After subadventitial dissection and intrapericardial isolation of left upper pulmonary vein, the vessel is closed proximally by a thoracoabdominal stapler. The Annals of Thoracic Surgery 2014 98, 990-995DOI: (10.1016/j.athoracsur.2014.04.110) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperatively prepared pulmonary vein conduit ready for anastomotic reconstruction. The Annals of Thoracic Surgery 2014 98, 990-995DOI: (10.1016/j.athoracsur.2014.04.110) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Conduit reconstruction of left pulmonary artery. The proximal anastomosis has been completed. The distal anastomosis is then performed by a running 5-0 monofilament suture. The Annals of Thoracic Surgery 2014 98, 990-995DOI: (10.1016/j.athoracsur.2014.04.110) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Completed reconstruction of pulmonary artery by a pulmonary vein conduit. The Annals of Thoracic Surgery 2014 98, 990-995DOI: (10.1016/j.athoracsur.2014.04.110) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Computed tomography with volume rendering showing complete patency of reconstructed pulmonary artery 1 year after operation. White arrows indicate proximal and distal anastomoses. The Annals of Thoracic Surgery 2014 98, 990-995DOI: (10.1016/j.athoracsur.2014.04.110) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions