There are few reports of a surgical approach to T4 lung carcinoma that has
invaded the heart Although most cases will be considered inoperable, cases
in which there is potential for complete resection and no distant or nodal
metastatic disease (T4 NO MO, Stage IIIB) may be considered for surgical th
erapy. We report a case of squamous cell carcinoma of the lung with cardiac
involvement, in which we performed a completion pneumonectomy using total
cardiopulmonary bypass. We describe indications and techniques for use of c
ardiopulmonary bypass in such cases.