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Case Reports
. 2024 Mar 14;14(1):e12354.
doi: 10.1002/pul2.12354. eCollection 2024 Jan.

Pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension with bronchial obstruction by a carcinoid tumor

Yuki Monden  1 , Dai Une  1 , Sho Mitsumune  2 , Hiroto Shimokawahara  3 , Hirofumi Okada  3 , Kenji Yoshida  1 , Shutaro Kato  1 , Suzuka Kamaguchi  1 , Mikizo Nakai  1 , Motomi Ando  4
Affiliations
Case Reports

Pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension with bronchial obstruction by a carcinoid tumor

Yuki Monden et al. Pulm Circ. .

Abstract

Pulmonary endarterectomy (PEA) is a standard treatment for chronic thromboembolic pulmonary hypertension (CTEPH). CTEPH combined with bronchial obstruction by a tumor is rare but should be assessed carefully because PEA for obstructed segments can be less therapeutic and make the subsequent surgical resection challenging. This report describes a case of CTEPH with bronchial obstruction by a typical carcinoid tumor in a 75-year-old man. On-site evaluation and removal of the obstructive tumor were performed bronchoscopically, increasing the effectiveness of subsequent PEA for all affected pulmonary segments. This report illustrates a PEA strategy to treat CTEPH with bronchial tumor obstruction.

Keywords: Thoracic surgery; bronchoscopic intervention; lung cancer.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Figure 1
Figure 1
(a) A smooth‐surfaced erythematous tumor was found on bronchoscopy, and (b) endobronchial resection of the bronchial carcinoid tumor was performed through bronchoscopy. (c) Preoperative angiography of the pulmonary artery confirmed central‐type chronic thromboembolic pulmonary hypertension with a poorly perfused right lower segment. (d) Angiography before discharge showing improved perfusion of the pulmonary arteries. (e) Specimens removed from the pulmonary arteries during pulmonary endarterectomy.
See this image and copyright information in PMC

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