Right upper and middle sleeve bilobectomy with atypical pulmonary arterioplasty.

We report upon a case with hypoxia as a result of a primary lung cancer affecting the middle lobe leading to occlusion of the intermediate pulmonary artery and the upper pulmonary vein, which was successfully treated by combined right upper and middle sleeve bilobectomy and atypical pulmonary arterioplasty. Our case concerning atypical bronchoangioplastic procedures supported the validity of the technique for the lung cancer in a patient without pulmonary dysfunction.