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Adrian Ooi
Rasheed A. Saad
Narain Moorjani
Khalid M. Amer
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Ann Thorac Surg 2007;83:684-685
© 2007 The Society of Thoracic Surgeons

Case Reports

Effective Symptomatic Relief of Hypertrophic Pulmonary Osteoarthropathy by Video-Assisted Thoracic Surgery Truncal Vagotomy

Adrian Ooi, MRCS, Rasheed A. Saad, MRCS, Narain Moorjani, MRCS, Khalid M. Amer, FRCS(CTS)*

Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, United Kingdom

Accepted for publication June 1, 2006.

* Address correspondence to Mr Amer, Wessex Cardiothoracic Centre, Southampton University Hospital, Tremona Road, Southampton, United Kingdom SO16 6YD. (Email: khalid.amer{at}suht.swest.nhs.uk).

Various modalities for the treatment of hypertrophic pulmonary osteoarthropathy (HPOA) associated with lung cancer have been suggested since 1958. Although the etiology remains speculative, unilateral vagotomy on the side of the lung cancer achieves symptomatic relief. We report a case of a 50-year-old woman with disabling HPOA and inoperable lung cancer who experienced effective pain relief and regained full mobility after video-assisted thoracoscopic surgery was used to perform truncal vagotomy. This relatively safe and simple procedure should be considered for terminal lung cancer patients with intractable HPOA.






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Copyright © 2007 by The Society of Thoracic Surgeons.