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Erdal Okur
Cagatay Tezel
Volkan Baysungur
Semih Halezeroglu
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J Thorac Cardiovasc Surg 2008;136:1080-1081
© 2008 The American Association for Thoracic Surgery


Brief Communication

Partial resection of persistent left superior vena cava for a T4 lung cancer

Erdal Okur, MD, Cagatay Tezel, MD, Volkan Baysungur, MD, Semih Halezeroglu, MD*

Department of Thoracic Surgery, Sureyyapasa Chest Disease and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey

Received for publication October 18, 2007; accepted for publication November 29, 2007.

* Address for reprints: Semih Halezeroglu, MD, Sureyyapasa Chest Disease and Thoracic Surgery, Educational and Research Hospital, Maltepe 34758 Istanbul, Turkey. (Email: semihh@atlas.net.tr).

The first 20% of the full text of this article appears below.

Although persistent left superior vena cava (PLSVC) is one of the most common congenital variations in the thoracic venous system, its resection for lung cancer has not been reported previously. We report partial resection of PLSVC together with a centrally located carcinoma in the left lung.

Clinical Summary

A 55-year-old man with a new onset of hemoptysis was admitted to the Sureyyapasa Chest Diseases and Thoracic Surgery Teaching and Research Hospital (Istanbul, Turkey). He had no history of previous disorders. Physical examination and routine laboratory tests showed normal results. A mass lesion in the left hilum was observed on chest x-ray. Fiberoptic bronchoscopy displayed an obstruction of the left upper lobe bronchus with a tumoral lesion. Pathology results of the biopsy showed squamous cell carcinoma. There was a 3-cm tumoral mass located in the left hilum of the lung adjacent to the pulmonary artery and vein on computed tomography (CT). A circular-shaped (10 mm in its biggest axes) paraaortic lesion seen . . . [Full Text of this Article]







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