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The Annals of Thoracic Surgery, Vol 46, 455-456, Copyright © 1988 by The Society of Thoracic Surgeons
KA Mansour, CE Malone and JM Craver
In the past 10 years, 2 patients were seen with metastatic sarcoma to the
lower lobe of the lung and extension into the left atrium. In both
patients, an attempt to squeeze the intracardiac portion of the tumor into
the lung at the time of lobectomy ended in near-catastrophic complications:
In the first patient, a saddle embolus occluded both femoral arteries, and
in the other, obstruction of the mitral valve orifice and cardiac arrest
occurred. This approach is mentioned only to condemn it. Our recommended
approach is outlined to prevent this technical mistake in the future.
ARTICLES
Left atrial tumor embolization during pulmonary resection: review of literature and report of two cases
Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA.
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