Staged surgery for empyema and lung gangrene caused by pseudoaneurysm after radiofrequency ablation. (4th January 2021)

• Record Type: Journal Article
• Authors: Nakata, Kentaro; Sugimoto, Seiichiro; Yamane, Masaomi; Toyooka, Shinichi
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 32:Number 5(2021)
• Page Start: 831
• Page End: 833
• Publication Date: 2021-01-04
• Subjects: Lung gangrene -- Empyema -- Radiofrequency ablation -- Pseudoaneurysm; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivaa331
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: Lung gangrene is a potentially fatal disease, and primary or staged surgery, depending on the patient's condition, is reported to be useful. We describe successful management, by staged surgery, of a rare case of empyema and lung gangrene complicating lung radiofrequency ablation. The patient, who was a diabetic with colorectal pulmonary metastases, underwent embolization of a pulmonary artery pseudoaneurysm in the right basal segment that developed after lung radiofrequency ablation. He subsequently developed lung gangrene caused by lung ischaemia, and empyema, necessitating pleural decortication followed by open-window thoracostomy. Subsequently, right basal segmentectomy was performed, with thoracostoma closure. Staged surgery might be beneficial for high-risk patients with empyema and lung gangrene caused by lung ischaemia.