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Extension of Pulmonary Adenocarcinoma into the Left Atrium

Jan Vojáek, MD, Jan Burkert, MD¹, Pavel Pafko, MD¹, Martin Mates, MD², Jaroslav patenka, MD, Petr Pavel, MD

Division of Cardiac Surgery
¹ Division of Thoracic Surgery
² Division of Cardiology, University Hospital Motol Prague, Czech Republic

For reprint information contact: Jan Vojáek, MD Tel: 420 7 7709 5921 Fax: 420 2 2443 5220 Email: j.vojacek{at}fnmotol.cz, Division of Cardiac Surgery, University Hospital Motol, Prague 5, 155 00, Czech Republic.

A 62-year-old man presented with pulmonary adenocarcinoma that penetrated through the pulmonary vein into the left atrium. The tumor in the left atrium was removed via a right lower lobectomy under cardiopulmonary bypass. In selected cases, radical removal of a tumor in patients without mediastinal lymph node involvement may improve the prognosis. The use of cardiopulmonary bypass extends the possibilities of radical tumor removal.