Non ‐incisional pleurectomy/decortication for malignant mesothelioma after cardiac surgery

We successfully treated a patient with malignant epithelial pleural mesothelioma who underwent pleurectomy/decortication after cardiac surgery with median sternotomy. Pleurectomy/decortication is possible for the patients who underwent cardiac surgery with median sternotomy. AbstractA 70-year-old man diagnosed with right-sided malignant epithelial pleural mesothelioma, underwent pleurectomy/decortication after three courses of neoadjuvant chemotherapy. He had a history of mitral valve replacement and maze procedure with median sternotomy, and the procedures resulted in strong adhesion from the apex to the mediastinal side. In particular, the peeling of the area where the tumor invaded the pericardium required the most attention; however, the involved pericardium could be partially resected without damaging the right atrium. Finally, en bloc macroscopic complete resection with the entire pleura was successfully performed without conversion to extrapleural pneumonectomy.
Source: Thoracic Cancer - Category: Cancer & Oncology Authors: Tags: CASE REPORT Source Type: research