Abstract
Carinal reconstruction necessitates significant care in cases with chronic lung infection. Herein, we present a patient who underwent wedged carinal pneumonectomy for a left main bronchus carcinoid tumor with a chronically infected, destroyed lung. A 63-year-old female had a history of bronchiectasis for over 30 years. Her left lung showed signs of repeated pneumonia. Videobronchoscopy revealed total obstruction of the orifice of the left main bronchus by a carcinoid tumor. After withdrawing massive sputum by suction through a fiberoptic bronchoscope, extrapleural wedged carinal pneumonectomy and carinal reconstruction were performed. There was no postoperative complication. The sufficient control of overflowing sputum and careful extrapleural dissection were effective procedures for avoiding complications in carinal reconstruction of a chronically infected lung.
