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J Thorac Cardiovasc Surg 2008;136:229-230
© 2008 The American Association for Thoracic Surgery
Brief Communication |
a Division of Thoracic Surgery, University of Rome "La Sapienza," Sant'Andrea Hospital, Rome, Italy
b Division of Thoracic Surgery, University of Rome "La Sapienza," Policlinico Umberto I, Rome, Italy.
Received for publication March 12, 2007; accepted for publication August 14, 2007. * Address for reprints: Anna Maria Ciccone, MD, Division of Thoracic Surgery, Sant'Andrea Hospital University of Rome "La Sapienza," Via di Grottarossa, 1035-39, 00189 Rome, Italy. (Email: amciccone@hotmail.com).
| The first 20% of the full text of this article appears below. |
Sleeve resection of the pulmonary artery (PA) is rapidly gaining acceptance as an alterative to pneumonectomy in selected patients with locally advanced lung cancer.1-4
Contrary to bronchial sleeve resection, for which bronchoscopy is an important preoperative investigation tool, the evaluation of the PA is still uncertain. There is general agreement that computed tomography (CT) with the injection of contrast material is the most accurate technique, but it is often difficult, if not impossible, to discriminate between simple adhesion and infiltration of the vascular wall.4
Clinical Summary
Between 1989 and 2006, we performed 100 reconstructive procedures on the PA (sleeve, 36; patch, 55; conduit, 9), and all patients were preoperatively evaluated by CT. We
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