ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Walter Klepetko
Wilfried Wisser
Ernst Wolner
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Klepetko, W.
Right arrow Articles by Wolner, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Klepetko, W.
Right arrow Articles by Wolner, E.

Ann Thorac Surg 1999;67:340-344
© 1999 The Society of Thoracic Surgeons


Original Articles

T4 lung tumors with infiltration of the thoracic aorta: is an operation reasonable?

Walter Klepetko, MDa, Wilfried Wisser, MDa, Tudor Bîrsan, MDa, Peter Mares, MDb, Shahrokh Taghavi, MDa, Natascha Kupilik, MDa, Ernst Wolner, MDa

a Department of Cardiothoracic Surgery, University of Vienna, Vienna, Austria
b Department of Cardiothoracic Anesthesiology, University of Vienna, Vienna, Austria

Accepted for publication July 18, 1998.

Address reprint requests to Dr Klepetko, Department of Cardiothoracic Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, Austria
e-mail: (walter.klepetko{at}akh-wien.ac.at)

Background. Only anecdotal reports about the results of combined resection of T4 lung tumors infiltrating the thoracic aorta exist.

Methods. Seven patients (mean age, 57.5 years; range, 43 to 78 years) underwent a resection of the infiltrated segment of the thoracic aorta together with a left pneumonectomy (n = 6) or left upper lobectomy (n = 1). Five tumors were primary non-small cell lung carcinomas (T4N2 in 3 patients, T4N1 in 2), one was a metastasis of breast cancer, and one was rhabdomyosarcoma.

Results. No patient died perioperatively. The 2 patients with rhabdomyosarcoma and metastasis of breast cancer died 2 and 7 months postoperatively. Of the 5 patients with bronchial carcinoma, 3 died after 17, 26, and 27 months as a result of distant metastasis. Two patients are alive after 14 and 50 months without evidence of disease recurrence. One-year, 2-year, and 4-year survival rates for patients with bronchial carcinoma were 100%, 75%, and 25%, respectively.

Conclusions. Combined resection of the lung and thoracic aorta can be performed with low morbidity and mortality when offered to highly selected patients. Adequate local control of tumor can be achieved for N1 and single-level N2 non-small cell lung carcinomas, but not for tumors with other histologies.




This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
A. Gomez-Caro, E. Martinez, A. Rodriguez, D. Sanchez, J. Martorell, J. M. Gimferrer, A. Haverich, W. Harringer, J. L. Pomar, and P. Macchiarini
Cryopreserved Arterial Allograft Reconstruction After Excision of Thoracic Malignancies
Ann. Thorac. Surg., December 1, 2008; 86(6): 1753 - 1761.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. de Perrot, E. Fadel, S. Mussot, A. de Palma, A. Chapelier, and P. Dartevelle
Resection of Locally Advanced (T4) Non-Small Cell Lung Cancer With Cardiopulmonary Bypass
Ann. Thorac. Surg., May 1, 2005; 79(5): 1691 - 1696.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
W. Klepetko
Surgical intervention for T4 lung cancer with infiltration of the thoracic aorta: Are we back to the archetype of surgical thinking?
J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 727 - 729.
[Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
M. Ohta, H. Hirabayasi, H. Shiono, M. Minami, H. Maeda, H. Takano, S. Miyoshi, and H. Matsuda
Surgical resection for lung cancer with infiltration of the thoracic aorta
J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 804 - 808.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
S. Hasegawa, T. Bando, N. Isowa, Y. Otake, K. Yanagihara, F. Tanaka, K. Inui, and H. Wada
The use of cardiopulmonary bypass during extended resection of non-small cell lung cancer
Interactive CardioVascular and Thoracic Surgery, December 1, 2003; 2(4): 676 - 679.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
A. N. van Geel, P. P. Jansen, R. J. van Klaveren, and J. R. M. van der Sijp
High Relapse-Free Survival After Preoperative and Intraoperative Radiotherapy and Resection for Sulcus Superior Tumors
Chest, November 1, 2003; 124(5): 1841 - 1846.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
C. Doddoli, G. Rollet, P. Thomas, O. Ghez, Y. Seree, R. Giudicelli, and P. Fuentes
Is lung cancer surgery justified in patients with direct mediastinal invasion?
Eur. J. Cardiothorac. Surg., August 1, 2001; 20(2): 339 - 343.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
A. Bernard, O. Bouchot, O. Hagry, and J. P. Favre
Risk analysis and long-term survival in patients undergoing resection of T4 lung cancer
Eur. J. Cardiothorac. Surg., August 1, 2001; 20(2): 344 - 349.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
S. Shimokawa, S.-i. Watanabe, and K. Sakasegawa
Combined resection of T4 lung cancer with invasion of the descending thoracic aorta
Ann. Thorac. Surg., March 1, 2000; 69(3): 971 - 971.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
W. Klepetko
Reply
Ann. Thorac. Surg., March 1, 2000; 69(3): 971 - 972.
[Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
W. Klepetko, S. Taghavi, A. Pereszlenyi, T. Birsan, J. Groetzner, N. Kupilik, O. Artemiou, and E. Wolner
Impact of different coverage techniques on incidence of postpneumonectomy stump fistula
Eur. J. Cardiothorac. Surg., June 1, 1999; 15(6): 758 - 763.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1999 by The Society of Thoracic Surgeons.