General Thoracic and Cardiovascular Surgery Cases最新文献

{"title":"Complete thoracoscopic resection for TXN2aM0 primary lung cancer: a case series with 5-year follow-up.","authors":"Daiki Yoshikawa, Takeshi Kawaguchi, Ryo Miyata, Keiji Yamanashi, Maiko Takeda, Akihiko Yoshizawa, Takao Osa, Kazuya Tanimura, Shigeto Hontsu, Shigeo Muro, Sachiko Miura, Mitsuharu Hosono, Masatsugu Hamaji","doi":"10.1186/s44215-025-00228-z","DOIUrl":"10.1186/s44215-025-00228-z","url":null,"abstract":"<p><p>Management of resectable TXN2aM0 primary lung cancer is controversial, and data regarding the long-term outcomes and guideline recommendations for such cases are lacking. We present the characteristics and long-term outcomes of four patients who underwent complete thoracoscopic resection of TXN2aM0 primary lung cancer. All patients experienced an uneventful postoperative course and survived for 5 to 10 years postoperatively; however, one patient experienced local recurrence at 2 years postoperatively and one patient experienced local recurrence at 5 years postoperatively. Our limited experience suggested that long-term survival may be achieved with complete resection of TXN2aM0; however, late recurrence and local recurrence are possible.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"40"},"PeriodicalIF":0.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12522338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful Commando procedure using the superior transseptal approach in a high-risk case.","authors":"Hiroki Moriuchi, Mamoru Orii, Takayuki Fujii, Kohei Narayama, Nobuhiro Shimabukuro, Akihiko Yamauchi","doi":"10.1186/s44215-025-00220-7","DOIUrl":"10.1186/s44215-025-00220-7","url":null,"abstract":"<p><strong>Background: </strong>The Commando procedure, which involves replacement of both the aortic and mitral valves along with reconstruction of the intervalvular fibrous body, is technically demanding. Commando procedure typically performed via an incision extending from the ascending aorta to the roof of the left atrium. However, in patients with extensive adhesions due to prior cardiac surgery, adding a superior transseptal incision can provide good exposure and reduce the risk of surrounding tissue injury.</p><p><strong>Case presentation: </strong>A 48-year-old woman with end-stage kidney disease on dialysis, diabetes mellitus, bilateral leg amputations from critical limb ischemia, and chronic steroid use presented in cardiogenic and septic shock. The patient had undergone mitral valve repair and coronary bypass surgery using saphenous vein grafts. Echocardiography revealed severe aortic and mitral valves stenosis. Given the extensive adhesions and complex anatomy, the Commando procedure was performed using a superior transseptal approach. A 25-mm MITRIS was implanted in the mitral position, and a 25-mm INSPIRIS in the aortic position. A tailored oval-shaped patch made of bovine pericardium was used to reconstruct the intervalvular fibrous body. The patient recovered without major complications.</p><p><strong>Conclusion: </strong>The superior transseptal approach provided excellent exposure and a stable operative field, facilitating standardized surgical maneuvers throughout the Commando procedure.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"38"},"PeriodicalIF":0.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary pulmonary artery sarcoma treated with simultaneous pulmonary valve replacement, artificial vessel replacement, and total right pneumonectomy: a case report.","authors":"Kento Fujii, Hideki Morita, Hiroshi Nagano, Hiroyuki Kawaura, Hidetaka Kariya, Minoru Kowada, Takehiro Shirasugi","doi":"10.1186/s44215-025-00221-6","DOIUrl":"10.1186/s44215-025-00221-6","url":null,"abstract":"<p><strong>Background: </strong>Primary pulmonary artery sarcoma progresses extremely rapidly and has a poor prognosis. This condition is managed with surgical resection and multimodality therapy. However, standardized treatment is not available.</p><p><strong>Case presentation: </strong>A 54-year-old woman was brought to the emergency department because of chest pain and worsening dyspnea that had developed in the past month. Contrast-enhanced computed tomography scan revealed severe stenosis extending from the pulmonary artery trunk to the right pulmonary artery due to an embolic substance. Because primary pulmonary artery sarcoma was suspected, emergency surgery was performed to improve the patient's symptoms. In addition to maximal tumor resection, pulmonary artery valve replacement, artificial vessel replacement, and right total pneumonectomy were performed. Based on the assessment performed using the specimen collected perioperatively, a pathological diagnosis of angiosarcoma of the right pulmonary artery was made. The patient was discharged on postoperative day 17 with a good postoperative course. However, because of dyspnea, she was readmitted to the hospital on day 85. Tumor recurrence was noted, and chemotherapy was initiated. The patient developed cardiac failure and died on postoperative day 119. A pathological postmortem examination was performed. Metastatic lesions were found in the pericardial sac, left lung, right chest wall and pleura, and mediastinum.</p><p><strong>Conclusions: </strong>In the present case, postoperative recurrence was observed despite maximal resection of the surrounding tissues with tumor invasion and simultaneous reconstruction. Chemotherapy was initiated but was ineffective. Gene panel testing can help identify novel treatment options for patients with neoplastic diseases without standardized treatment. In addition, preparations should be made before surgery.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"37"},"PeriodicalIF":0.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12382254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usefulness of somatosensory-evoked potentials for monitoring cerebral perfusion during transcarotid transcatheter aortic valve replacement: a case report.","authors":"Koji Okamoto, Yuma Motomatsu, Meikun Kano, Kyohei Meno, Yujiro Ura, Takahiro Mori, Kisho Otani, Shujiro Inoue, Hiromichi Sonoda, Akira Shiose","doi":"10.1186/s44215-025-00219-0","DOIUrl":"10.1186/s44215-025-00219-0","url":null,"abstract":"<p><strong>Background: </strong>Transcarotid transcatheter aortic valve replacement (TAVR) is a safe procedure with a low incidence of cerebral infarction and has recently become the first-choice alternative approach. This procedure requires temporary occlusion of the common carotid artery (CCA). CCA clamping during surgery may help reduce the risk of embolism caused by debris; however, the risk of hemodynamic stroke cannot be entirely ruled out. Therefore, intraoperative monitoring of cerebral ischemia is essential. Regional oxygen saturation (rSO₂) monitoring is commonly used, but can only measure local mixed venous oxygen saturation in the frontal lobes. During carotid endarterectomy (CEA), a combination of multiple monitoring methods for intraoperative cerebral ischemia is recommended. Similarly, we used somatosensory-evoked potentials (SEPs) in conjunction with rSO₂ monitoring.</p><p><strong>Case presentation: </strong>A 92-year-old male patient with a history of dyspnea on exertion was diagnosed with severe aortic valve stenosis (AS) using transthoracic echocardiography (TTE). Contrast-enhanced computed tomography (CT) revealed a shaggy aorta extending from the aortic arch to the descending aorta. Preoperative magnetic resonance angiography (MRA) of the head showed slight narrowing of the anterior communicating artery. Considering the patient's age, frailty, and vascular pathology, we performed transcarotid TAVR while monitoring rSO₂ and SEPs for intraoperative cerebral ischemia. No significant decreases in rSO₂ values or SEPs amplitudes due to occlusion of the left CCA. The procedure was successful, with no postoperative stroke, and the patient had an uneventful recovery.</p><p><strong>Conclusions: </strong>In transcarotid TAVR requiring CCA occlusion, monitoring cerebral ischemia with both rSO₂ and SEPs may help prevent perioperative hemodynamic cerebral infarction.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"36"},"PeriodicalIF":0.1,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early surgical explantation of a TAVI valve for severe hemolytic anemia caused by mild paravalvular leak.","authors":"Reo Sakakura, Masazumi Fukuzawa, Hirotaro Sugiyama, Kazuhiro Tani, Taiji Yoshida, Arata Murakami, Hidenobu Terai, Katsushi Ueyama","doi":"10.1186/s44215-025-00218-1","DOIUrl":"10.1186/s44215-025-00218-1","url":null,"abstract":"<p><strong>Background: </strong>Hemolytic anemia following transcatheter aortic valve implantation (TAVI) is an uncommon complication, particularly in patients with only mild paravalvular leak (PVL). Although reports of TAVI valve explantation are increasing, the procedure remains technically demanding and is associated with high morbidity and mortality. This case highlights the importance of early surgical consideration when hemolytic anemia occurs post-TAVI, despite only mild PVL.</p><p><strong>Case presentation: </strong>An 83-year-old man with symptomatic severe aortic stenosis underwent transfemoral TAVI via a 26-mm SAPIEN 3 Ultra RESILIA® valve. Although classified as low surgical risk, TAVI was chosen on the basis of patient preference and age. The procedure was uneventful, with only mild PVL observed via transesophageal echocardiography. The patient was discharged on postoperative day 10. One month later, he presented with fatigue and laboratory findings indicating severe hemolytic anemia. Echocardiography revealed a PVL jet from the non-coronary to left coronary cusp commissure. Preoperative CT revealed bulky annular calcification, especially at the NCC-LCC commissure. Owing to worsening anemia and ongoing hemolysis, surgical explantation and aortic valve replacement were performed. Intraoperatively, a gap was found between the valve and the annulus at the calcified commissure. The TAVI valve was successfully explanted and replaced with a surgical bioprosthesis. Postoperative recovery was uneventful, and hemolysis resolved completely.</p><p><strong>Conclusions: </strong>This case demonstrates that mild PVL after TAVI may still cause clinically significant hemolysis depending on anatomical features. Careful preprocedural assessment of annular calcification and commissural geometry is critical, even in low-risk patients. Surgical explantation should be considered early when hemolysis occurs, as delayed intervention may lead to increased morbidity. This case reinforces the need for individualized valve selection and close follow-up to address the adverse hemodynamic consequences of PVL promptly, regardless of its apparent severity.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"35"},"PeriodicalIF":0.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful treatment for distal-arch aortic aneurysm in a cold agglutinin-positive patient via physician-modified thoracic endovascular aortic repair: a case report.","authors":"Rika Oshima, Tetsuya Sato, Ryotaro Yamada, Takuya Kawahara, Riki Sumiyoshi, Kosuke Miyoshi, Kazunori Hashimoto, Kenichi Hashizume, Satoshi Itoh","doi":"10.1186/s44215-025-00195-5","DOIUrl":"10.1186/s44215-025-00195-5","url":null,"abstract":"<p><strong>Background: </strong>Cold agglutinin disease (CAD) is sometimes incidentally detected before cardiovascular surgery. Several methods to prevent complications associated with CAD after cardiac surgery have been reported, but there are no reports of the use of physician-modified TEVAR to date.</p><p><strong>Case presentation: </strong>A 76-year-old man with an arch aortic saccular aneurysm was scheduled to undergo arch aortic replacement. However, cold agglutinin syndrome was incidentally detected before open heart surgery. The safety of cardiopulmonary surgery under hypothermia for patients with cold agglutinin disease is unknown, as intravascular hemolysis is a source of concern for patients sensitive to cold stimulation. Instead, we performed physician-modified thoracic endovascular aortic repair (3 fenestrations and 1 branch), as the aneurysm in this case was suitable for thoracic endovascular aortic repair (TEVAR). As a result, the patient recovered well without any complication.</p><p><strong>Conclusions: </strong>The long-term prognosis of physician-modified thoracic endovascular aortic repair remains unclear, and its use is limited to high-risk patients who require open chest surgery. Also, the impact of cold agglutination on stent grafts in CAD patients has not been reported. Despite that situation, this case illustrated that physician-modified TEVAR can be safely performed without significant postoperative complications, such as coagulation-fibrinolytic abnormalities or embolic events. Further studies are needed to establish the indications for this procedure in CAD patients.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"34"},"PeriodicalIF":0.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COR-KNOT-induced aortic root injury during minimally invasive aortic valve replacement of a bicuspid aortic valve: a case report.","authors":"Takahiro Ishigaki, Kazuma Okamoto, Satoshi Asada, Genichi Sakaguchi","doi":"10.1186/s44215-025-00217-2","DOIUrl":"10.1186/s44215-025-00217-2","url":null,"abstract":"<p><strong>Background: </strong>The COR-KNOT device is widely used in minimally invasive cardiac surgery, and its efficacy in reducing operative time is well established. However, it has been associated with complications, such as valve leaflet perforation and prosthetic valve damage.</p><p><strong>Case presentation: </strong>We report a rare case of aortic root injury caused by COR-KNOT usage. A 72-year-old man with severe aortic stenosis due to a bicuspid aortic valve and distorted aortic root anatomy underwent minimally invasive aortic valve replacement using the COR-KNOT. After aortotomy closure, vigorous bleeding from the aortic root was observed. Punctate injuries of the aortic root, corresponding to the COR-KNOT clip sites, were identified following re-aortic cross-clamping. The procedure was converted to median sternotomy, the aortic root injury was repaired with an autologous pericardial patch, and the bioprosthetic valve was re-implanted using hand-tied sutures. The patient recovered uneventfully.</p><p><strong>Conclusions: </strong>This case highlights the importance of careful device selection and clip positioning in anatomically challenging cases to avoid life-threatening complications.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"33"},"PeriodicalIF":0.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive video-assisted resection of a papillary fibroelastoma originating from the papillary muscle of the left ventricle: a case report.","authors":"Hiroki Tada, Kazuma Handa, Masaro Nakae, Teruya Nakamura, Shigeru Miyagawa, Naosumi Sekiya","doi":"10.1186/s44215-025-00216-3","DOIUrl":"10.1186/s44215-025-00216-3","url":null,"abstract":"<p><strong>Background: </strong>Papillary fibroelastoma is a rare, benign cardiac tumor that typically originates from the cardiac valves, with papillary muscle involvement being extremely rare. However, optimal management of papillary fibroelastoma remains variable.</p><p><strong>Case presentation: </strong>A 79-year-old female with multiple comorbidities, including Parkinson's syndrome, diabetes, and frailty, was referred to our hospital because an incidental left ventricular mass was detected during a preoperative evaluation for knee osteoarthritis. Echocardiography and computed tomography revealed a mobile, 17-mm mass in the left ventricle, possibly attached to the posterior papillary muscle. The morphological findings were suspicious for papillary fibroelastoma. The tumor was surgically resected from the papillary muscle using a three-dimensional thoracoscopy-assisted right limited-thoracotomy approach. Histopathological analysis confirmed the diagnosis of papillary fibroelastoma. Postoperatively, the patient was discharged without complications, and no recurrence was observed at the 1-year follow-up.</p><p><strong>Conclusion: </strong>This case demonstrates the feasibility and efficacy of minimally invasive video-assisted right thoracotomy for the resection of a papillary fibroelastoma originating from the papillary muscle.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical management of a patient with anomalous origin of the left circumflex coronary artery undergoing aortic and mitral valve surgery.","authors":"Risako Kojima, Koji Furukawa, Shohei Hiromatsu, Kousuke Mori, Ayaka Iwasaki, Sakaguchi Shuhei, Hirohito Ishii","doi":"10.1186/s44215-025-00215-4","DOIUrl":"10.1186/s44215-025-00215-4","url":null,"abstract":"<p><strong>Background: </strong>The anomalous origin of the left circumflex coronary artery is rare and, when isolated, typically has minimal pathological significance. However, it can cause damage or compression of the coronary artery during aortic and mitral valve surgery.</p><p><strong>Case presentation: </strong>The patient was a 34-year-old male diagnosed with severe aortic regurgitation due to a bicuspid aortic valve following infective endocarditis at the mitral valve. He was referred to our hospital owing to worsening heart failure. Preoperative evaluation revealed a mitral valve aneurysm and an anomalous left circumflex coronary artery originating from the right coronary artery and running posteriorly along the aortic valve annulus. During surgery, dissection of the anomalous left circumflex coronary artery was challenging. Mitral valve aneurysm repair and aortic valve replacement were performed. For the aortic valve replacement, a 23-mm St. Jude Medical Regent valve, one size smaller than optimal, was secured in the supra-annular position. Additionally, a coronary artery bypass graft was performed on the distal circumflex artery using a saphenous vein graft. The patient experienced no ischemic myocardial damage and was discharged in stable condition on postoperative day 14.</p><p><strong>Conclusions: </strong>The anomalous origin of the left circumflex coronary artery should be recognized, and appropriate measures must be taken during valve surgery. Preemptive coronary artery bypass grafting is a reasonable option for patients undergoing aortic and mitral valve surgeries.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted lung segmentectomy in a patient with an implantable left ventricular assist device: a case report.","authors":"Motoka Omata, Shota Mitsuboshi, Hiroaki Shidei, Akira Ogihara, Hiroe Aoshima, Tamami Isaka, Hidetoshi Hattori, Shinichi Nunoda, Junichi Yamaguchi, Hiroshi Niinami, Masato Kanzaki","doi":"10.1186/s44215-025-00213-6","DOIUrl":"10.1186/s44215-025-00213-6","url":null,"abstract":"<p><strong>Background: </strong>Survival can be prolonged in patients with end-stage heart failure using left ventricular assist devices (LVADs); however, increased longevity raises the risk of developing noncardiac complications, including malignancies requiring surgery.</p><p><strong>Case presentation: </strong>A 58-year-old man with an LVAD was referred for the diagnosis and treatment of an undiagnosed nodule in the right upper lobe, which was detected during a preoperative computed tomography (CT) scan, for heart transplantation assessment. CT revealed a 9-mm nodule in the right anterior segment (S³), and an 18F-fluorodeoxyglucose positron emission tomography showed significant uptake, suggestive of lung cancer. A robot-assisted thoracoscopic right S³ segmentectomy was performed. Intraoperative hemodynamic monitoring included an arterial line, a central venous catheter, a pulmonary arterial catheter, and transesophageal echocardiography. The procedure was completed successfully without complications. Pathological analysis confirmed adenocarcinoma, classified as pathological stage T1aN0M0 (Stage IA1). The patient subsequently underwent heart transplantation and LVAD removal on postoperative day 185.</p><p><strong>Conclusions: </strong>A patient with lung cancer and an LVAD who was awaiting heart transplantation successfully underwent robot-assisted thoracoscopic right S³ segmentectomy, enabling him to subsequently undergo a heart transplant.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}