Reconstruction of a dominant vertebral artery during resection of a superior sulcus tumour with an incomplete circle of Willis

Masatsugu Hamaji; Takeshi Kubo; Kenji Minatoya; Hiroshi Date

doi:10.1093/ejcts/ezy219

Reconstruction of a dominant vertebral artery during resection of a superior sulcus tumour with an incomplete circle of Willis

Eur J Cardiothorac Surg. 2019 Feb 1;55(2):377-379. doi: 10.1093/ejcts/ezy219.

Authors

Masatsugu Hamaji¹, Takeshi Kubo², Kenji Minatoya³, Hiroshi Date¹

Affiliations

¹ Department of Thoracic Surgery, Kyoto University Hospital, Sakyo-ku, Kyoto, Japan.
² Department of Diagnostic Radiology, Kyoto University Hospital, Sakyo-ku, Kyoto, Japan.
³ Department of Cardiovascular Surgery, Kyoto University Hospital, Sakyo-ku, Kyoto, Japan.

PMID: 29868710
DOI: 10.1093/ejcts/ezy219

Abstract

A 74-year-old man presented with a left superior sulcus tumour invading the subclavian artery. After induction chemoradiotherapy, he underwent a vertebral artery reconstruction in addition to the subclavian artery reconstruction via a transmanubrial approach and video-assisted thoracoscopic left upper lobectomy. The final pathology was ypT4N0M0 adenocarcinoma. The technical aspects and indication for a vertebral artery reconstruction are discussed in this article.

Publication types

Case Reports

MeSH terms

Aged
Circle of Willis / diagnostic imaging
Circle of Willis / pathology*
Humans
Male
Pancoast Syndrome / diagnostic imaging
Pancoast Syndrome / surgery*
Pneumonectomy / methods*
Tomography, X-Ray Computed
Vascular Surgical Procedures / methods*
Vertebral Artery / diagnostic imaging
Vertebral Artery / surgery*