A case of primary pulmonary hypertension with pulmonary tumor

Masaomi Ichinokawa, Yasuhiro Hida, Kichizo Kaga, Masaya Kawada, Hiroto Niizeki, Satoshi Kondo

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


A 64-year-old female with a 9-year history of primary pulmonary hypertension developed a solid pulmonary tumor. Partial lung resection was planned for diagnosis. Although prostacyclin was increased to 8 ng/kg/min, she did not tolerate the decubitus position and one-lung ventilation, and her pulmonary arterial pressure rose to 110/45 mmHg. While she underwent partial resection under two-lung ventilation in the decubitus position, bleeding occurred from the suture line closed by a linear stapler and was controlled by additional sutures. She was discharged home without postoperative complications on postoperative day 15. The pathological examination revealed a bronchioloalveolar carcinoma. If pulmonary resection becomes necessary in a similar patient, we will plan a partial resection with the patient in a supine position to prevent elevation of pulmonary arterial pressure.

Original languageEnglish
Pages (from-to)270-272
Number of pages3
JournalAnnals of Thoracic and Cardiovascular Surgery
Issue number4
Publication statusPublished - 08-2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

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


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