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Successful pulmonary arterial embolization followed by curative surgery for a lepidic predominant lung adenocarcinoma with severe hypoxemia.

Successful pulmonary arterial embolization followed by curative surgery for a lepidic predominant lung adenocarcinoma with severe hypoxemia.
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Sebane L, El-Hajjam M, Puyo P, Longchampt E, Giroux Leprieur E,


Sebane L, El-Hajjam M, Puyo P, Longchampt E, Giroux Leprieur E, (click to view)

Sebane L, El-Hajjam M, Puyo P, Longchampt E, Giroux Leprieur E,

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BMC surgery 2018 04 1018(1) 20 doi 10.1186/s12893-018-0351-1

Abstract
BACKGROUND
Lepidic predominant adenocarcinoma is characterized by frequent refractory hypoxemia due to intrapulmonary shunting. Severe hypoxemia can induce perioperative complications in case of thoracic surgery.

CASE PRESENTATION
We report a case of a 67 year-old woman with localized lepidic adenocarcinoma in the right lower lobe with severe hypoxemia. A selective arterial lung embolization allowed an instantaneous correction of the hypoxemia, and a curative lobectomy was safely performed 1 week after without any complication. The staging was pT3N0M0, and the patient received adjuvant chemotherapy.

CONCLUSIONS
This is the first case-report of successful endovascular embolization before curative surgery for a lepidic predominant lung adenocarcinoma.

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