| Pulmonary artery obstruction due to a metastatic malignant phyllodes tumor of the breast. | |
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MedLine Citation:
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PMID: 20703865 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 65-year-old woman with a 9-year surgical history of a left breast phyllodes tumor was admitted with progressive chest pain on effort. Computed tomography showed severe stenosis of the main pulmonary artery, with the mass originating from the ventricular septum. We planned to resect the tumor the next day. However, the next morning a pulmonary artery embolism occurred, and she developed dyspnea and lost consciousness. After carrying out cardiopulmonary resuscitation, we performed a life-saving operation. We successfully resected the huge tumor as far as possible from the right ventricle via a right atrial (RA)-tomy. However, her consciousness did not improve to better than Glasgow Coma Scale grade 7. She died from suffocation caused by metastasis invading her airway despite undergoing tracheotomy on the 77 th postoperative day. |
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Authors:
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Taro Nakatsu; Takaaki Koshiji; Yutaka Sakakibara; Koji Hagio; Masanosuke Ishigami; Yuichiro Arima; Mitsuhiko Kitaoka |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-08-12 |
Journal Detail:
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Title: General thoracic and cardiovascular surgery Volume: 58 ISSN: 1863-6713 ISO Abbreviation: Gen Thorac Cardiovasc Surg Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-12 Completed Date: 2010-12-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101303952 Medline TA: Gen Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 423-6 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Kumamoto, 862-0925, Japan. tarozamurai@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arterial Occlusive Diseases / etiology*, radiography Asphyxia / etiology Breast Neoplasms / complications*, pathology, surgery Cardiac Surgical Procedures Constriction, Pathologic Fatal Outcome Female Heart Neoplasms / complications*, secondary, surgery Humans Phyllodes Tumor / complications*, secondary, surgery Pulmonary Artery* / radiography Pulmonary Embolism / etiology Tomography, X-Ray Computed Treatment Outcome Unconsciousness / etiology Ventricular Septum / pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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