A case report of complete obstruction of the left main bronchus caused by recurrent esophageal carcinoma with pulmonary embolism of right lung after surgery for esophageal cancer

Mamoru Uemura, Masahiko Yano, Kentaro Kishi, K. Takachi, Isao Miyashiro, Shingo Noura, Hidetoshi Eguchi, Terumasa Yamada, Masayuki Ohue, Hiroaki Ohigashi, Y. Sasaki, Osamu Ishikawa, Imaoka Shingi

Research output: Contribution to journalArticle

Abstract

A 54-year-old woman complained of dyspnea, due to complete obstruction of the left main bronchus caused by recurrent esophageal carcinoma, was transferred to our department about two months after curative resection (with preoperative chemotherapy for T4 cancer) in July 2004. She suddenly developed a severe shortness of breath with anxiety, and arterial blood gas analysis revealed a PaO2 of 25 mmHg (FiO2 1.0). The presence of pulmonary embolism was diagnosed by pulmonary perfusion scintigraphy. Thrombolytic therapy with urokinase was started to keep the air way. Fogarty catheter and bronchoscopic Nd-YAG laser treatment was performed. After that, an expandable metallic stent (EMS) was placed at the site of obstruction without any troubles, and there was a striking improvement in her condition of respiration and atelectasis. The radiation therapy was initiated and completed safely. The tumor lesion had disappeared on CT scan after the radiation therapy (a total dose of 50 Gy). We experienced a case that could be rescued from an advanced respiratory failure caused by one side air way obstruction and another side's blood circulation disorder.

Original languageEnglish
Pages (from-to)1736-1738
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume32
Issue number11
Publication statusPublished - Jan 1 2005
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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    Uemura, M., Yano, M., Kishi, K., Takachi, K., Miyashiro, I., Noura, S., Eguchi, H., Yamada, T., Ohue, M., Ohigashi, H., Sasaki, Y., Ishikawa, O., & Shingi, I. (2005). A case report of complete obstruction of the left main bronchus caused by recurrent esophageal carcinoma with pulmonary embolism of right lung after surgery for esophageal cancer. Gan to kagaku ryoho. Cancer & chemotherapy, 32(11), 1736-1738.