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Ann Thorac Surg 1994;57:1029-1030
© 1994 The Society of Thoracic Surgeons

Articles

Lung cancer and the left internal mammary artery graft

Peter S. Greene, MD, Richard F. Heitmiller, MD*

Division of Thoracic Surgery, Department of General Surgery, the Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

Accepted for publication July 27, 1993.

* Address reprint requests to Dr Heitmiller, Johns Hopkins Hospital, Osler 624, Baltimore, MD 21205.

A patient with a left upper lobe non-small cell lung cancer involving a previous left internal mammary artery graft is presented to highlight the potential complications associated with resective lung operations in these patients. If left internal mammary artery involvement by tumor is suspected, coronary and left internal mammary artery catheterization should be added to the standard non-small cell lung cancer staging evaluation before considering surgical resection.




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