Resection of mucoepidermoid carcinoma of the left main bronchus by retraction of the aortic arch

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  • Fujinaga Takuji
    Department of General Thoracic Surgery, National Hospital Organization Nagara Medical Center
  • Ikeda Masaki
    Department of General Thoracic Surgery, National Hospital Organization Nagara Medical Center
  • Murata Yoshitake
    Department of General Thoracic Surgery, National Hospital Organization Nagara Medical Center

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  • 大動脈脱転を行い切除した左主気管支発生粘表皮癌の1例

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Abstract

<p>We report a case of left main bronchial mucoepidermoid carcinoma resected by anterior retraction of the aortic arch. The patient was a 22-year-old male who had spontaneous hemoptysis; he was referred to our hospital for further investigation. Enhanced chest computed tomography revealed a vascular-rich endobronchial tumor obstructing the orifice of the left main bronchus, which may have partially invaded the surrounding tissue. Bronchoscopy revealed that the tumor arising from the membrane portion easily bled. During the operation, anterior retraction of the aortic arch after the dissection of the two intercostal arteries provided adequate exposure of the proximal part of the left main bronchus and tracheal carina. The left main bronchus with the lesion was resected by deep wedge fashion; it was anastomosed with a good operative view.</p>

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