Abstract
A 55-year-old man was followed up after left upper lobectomy due to lung adenocarcinoma. One year and nine months later, chest CT showed abnormal shadows in the bilateral lung fields and mediastinal lymph nodes. Two courses of chemotherapy were administered. Three months after the chemotherapy, chest X-ray showed atelectasis of the left lung. Chest tomography revealed the complete obstruction of the left main bronchus caused by a tumor. To improve the difficulty in the breathing, we reduced the tumor by means of Argon Plasma Laser and then the Covered Wallstent was inserted into the left main bronchus under general anesthesia. After the stenting, the atelectasis was improved. The Covered Wallstent was very effective for the severe stenosis caused by surrounding tumor growth, and tumor invasion of the stent was prevented. This form of stent is also indicated in case of bronchial deformity after surgery.
