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Combined right atrial resection for lung cancer that developed intractable atrial flutter
Authors:Mitsunori Ohta   Kenji Hazama   Koji Kagisaki   Goro Matsumiya   Hiroyuki Nakayama  Hikaru Matsuda
Affiliation:(1) Department of Internal Medicine and Therapeutics, Osaka University Graduate School of Medicine, Osaka, Japan;(2) Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, E1. 2-2, Yamadaoka, 565-0871 Suita, Osaka, Japan
Abstract:We have encountered a patient with primary lung cancer with invasion into the right atrial wall with N2 disease. Complete resection of the tumor combined with the right atrial wall was achieved under cardiopulmonary bypass after induction chemoradiotherapy. Pathological results confirmed ypT0N0M0. Post-operatively, atrial flutter resistant to rate control with calcium-antagonists and β-blockers was treated with catheter ablation of the atrioventricular node.
Keywords:advanced lung cancer  right atrial resection  induction therapy  atrial flutter
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