Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary Arterioplasty
Introduction. Intimal sarcoma is a very rare tumor arising within the intima of the pulmonary artery. Preoperative diagnosis of pulmonary artery sarcoma is difficult, and the tumor is sometimes misdiagnosed as pulmonary thromboembolism. We report a case of pulmonary artery intimal sarcoma successful...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2021/5573869 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560641035993088 |
|---|---|
| author | Daiki Kato Shohei Mori Eriko Harada Rintaro Shigemori Takamasa Shibazaki Hideki Matsudaira Jun Hirano Hirokazu Ashida Hiroko Kimura Michio Yoshitake Takashi Kunihara Takashi Ohtsuka |
| author_facet | Daiki Kato Shohei Mori Eriko Harada Rintaro Shigemori Takamasa Shibazaki Hideki Matsudaira Jun Hirano Hirokazu Ashida Hiroko Kimura Michio Yoshitake Takashi Kunihara Takashi Ohtsuka |
| author_sort | Daiki Kato |
| collection | DOAJ |
| description | Introduction. Intimal sarcoma is a very rare tumor arising within the intima of the pulmonary artery. Preoperative diagnosis of pulmonary artery sarcoma is difficult, and the tumor is sometimes misdiagnosed as pulmonary thromboembolism. We report a case of pulmonary artery intimal sarcoma successfully diagnosed by preoperative endovascular biopsy and treated via right pneumonectomy and pulmonary arterioplasty. Presentation of a Case. A 72-year-old woman was referred to our hospital with a low-attenuation defect in the lumen of the right main pulmonary artery by computed tomography. Pulmonary artery thromboembolism was suspected, and anticoagulation therapy was administered. However, the defect in the pulmonary artery did not improve. Endovascular catheter aspiration biopsy was performed. Histological examination revealed pulmonary artery sarcoma. The patient was treated with right pneumonectomy and arterioplasty with the use of cardiopulmonary bypass. Discussion. Preoperative biopsy by endovascular catheter is worth considering for a patient with a tumor in the pulmonary artery and can help in planning treatment strategies. |
| format | Article |
| id | doaj-art-fd31e846a2f24a778ed99f5994b9c615 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-fd31e846a2f24a778ed99f5994b9c6152025-02-03T01:27:06ZengWileyCase Reports in Pulmonology2090-68462090-68542021-01-01202110.1155/2021/55738695573869Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary ArterioplastyDaiki Kato0Shohei Mori1Eriko Harada2Rintaro Shigemori3Takamasa Shibazaki4Hideki Matsudaira5Jun Hirano6Hirokazu Ashida7Hiroko Kimura8Michio Yoshitake9Takashi Kunihara10Takashi Ohtsuka11Department of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanDepartment of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanDepartment of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanDepartment of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanDepartment of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanDepartment of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanDepartment of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanDepartment of Radiology, The Jikei University, School of Medicine, JapanDepartment of Pathology, The Jikei University, School of Medicine, JapanDepartment of Cardiac Surgery, The Jikei University, School of Medicine, JapanDepartment of Cardiac Surgery, The Jikei University, School of Medicine, JapanDepartment of Surgery, Division of Thoracic Surgery, The Jikei University, School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo 105-0003, JapanIntroduction. Intimal sarcoma is a very rare tumor arising within the intima of the pulmonary artery. Preoperative diagnosis of pulmonary artery sarcoma is difficult, and the tumor is sometimes misdiagnosed as pulmonary thromboembolism. We report a case of pulmonary artery intimal sarcoma successfully diagnosed by preoperative endovascular biopsy and treated via right pneumonectomy and pulmonary arterioplasty. Presentation of a Case. A 72-year-old woman was referred to our hospital with a low-attenuation defect in the lumen of the right main pulmonary artery by computed tomography. Pulmonary artery thromboembolism was suspected, and anticoagulation therapy was administered. However, the defect in the pulmonary artery did not improve. Endovascular catheter aspiration biopsy was performed. Histological examination revealed pulmonary artery sarcoma. The patient was treated with right pneumonectomy and arterioplasty with the use of cardiopulmonary bypass. Discussion. Preoperative biopsy by endovascular catheter is worth considering for a patient with a tumor in the pulmonary artery and can help in planning treatment strategies.http://dx.doi.org/10.1155/2021/5573869 |
| spellingShingle | Daiki Kato Shohei Mori Eriko Harada Rintaro Shigemori Takamasa Shibazaki Hideki Matsudaira Jun Hirano Hirokazu Ashida Hiroko Kimura Michio Yoshitake Takashi Kunihara Takashi Ohtsuka Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary Arterioplasty Case Reports in Pulmonology |
| title | Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary Arterioplasty |
| title_full | Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary Arterioplasty |
| title_fullStr | Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary Arterioplasty |
| title_full_unstemmed | Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary Arterioplasty |
| title_short | Pulmonary Artery Intimal Sarcoma Diagnosed Preoperatively by Endovascular Biopsy and Treated via Right Pneumonectomy and Pulmonary Arterioplasty |
| title_sort | pulmonary artery intimal sarcoma diagnosed preoperatively by endovascular biopsy and treated via right pneumonectomy and pulmonary arterioplasty |
| url | http://dx.doi.org/10.1155/2021/5573869 |
| work_keys_str_mv | AT daikikato pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT shoheimori pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT erikoharada pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT rintaroshigemori pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT takamasashibazaki pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT hidekimatsudaira pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT junhirano pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT hirokazuashida pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT hirokokimura pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT michioyoshitake pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT takashikunihara pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty AT takashiohtsuka pulmonaryarteryintimalsarcomadiagnosedpreoperativelybyendovascularbiopsyandtreatedviarightpneumonectomyandpulmonaryarterioplasty |