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Ann Thorac Surg 2010;90:e6-e8. doi:10.1016/j.athoracsur.2010.03.097
© 2010 The Society of Thoracic Surgeons
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Case Reports

Unilateral Absence of the Left Pulmonary Artery Accompanied by Right Lung Cancer

Masaoki Ito, MD, Yoshinori Yamashita, MD, PhD*, Hiroaki Harada, MD, Ken-ichi Omori, MD, PhD

Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan

Accepted for publication March 26, 2010.

* Address correspondence to Dr Yamashita, Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, 737-0023 Japan (Email: yamashitay{at}kure-nh.go.jp).

Unilateral absence of a pulmonary artery is a rare congenital anomaly that is often accompanied by other cardiovascular anomalies. Surgical treatment for this rare disease is usually performed only on the abnormal side. We report on a case of unilateral absence of a pulmonary artery that was complicated by contralateral primary lung cancer. We performed a right middle lobectomy despite the absence of the left pulmonary artery and detected changes in respiratory function during the operation. The present case provides information on the surgical tolerability and predictable morbidity following lung resection of the normal side in unilateral absence of a pulmonary artery.






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