Combined aortic resection and stent graft insertion for local recurrence of metastatic lung carcinoma following stereotactic radiotherapy: A case report

Hitoshi Dejima, Noriyuki Matsutani, Tomohiro Imazuru, Shigeki Morita, Yusuke Takahashi, Tomoki Shimokawa, Masafumi Kawamura

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Stereotactic radiotherapy (SRT) is a useful treatment for malignant ling tumors. However, SRT is associated with complications such as high local recurrence rate and radiationinduced lung injury. Herein, we report a case of combined aortic resection for after SRT. An 82-year-old man underwent SRT for the metastatic lung carcinoma of rectal cancer at left lower lobe. Three years later, chest computed tomography showed local recurrence at the site of radiotherapy, with suspected invasion of the descending aorta. Thoracotomy was performed after metastatic lung carcinoma interpolation of a stent graft in the descending aorta. Because the tumor firmly adhered to the aorta, left lower lung lobe and aortic wall resection was performed. Pathological findings revealed fibrous hypertrophy and adhesion between the visceral pleura and aorta. As shown in our case, combined aortic resection and stent graft insertion is an effective minimally invasive and safe treatment for SRT-induced tissue damage.

Original languageEnglish
Pages (from-to)52-56
Number of pages5
JournalAnnals of Thoracic and Cardiovascular Surgery
Volume22
Issue number1
DOIs
Publication statusPublished - 2016 Feb 20
Externally publishedYes

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Keywords

  • Chronic radiation fibrosis
  • Combined aortic resection
  • Local recurrence after radiotherapy
  • Stent graft
  • Stereotactic radiotherapy

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology

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