A 71-year-old man with primary lung cancer associated with Brugada syndrome
was safely operated on following the placement of an implantable cardiover
ter defibrillator (ICD). During examinations for Brugada syndrome, a tumor
in the apicoposterior segment of the left lung was incidentally detected by
chest computed tomography. Following the implantation of an ICD, surgical
treatment of the left lung tumor was scheduled. A lung biopsy was thoracosc
opically performed and adenocarcinoma was diagnosed based on a frozen secti
on analysis. A left upper lobectomy with lymph node dissection was performe
d through a standard posterolateral thoracotomy. Ventricular fibrillation,
which occurred during the night of the first day following surgery, was suc
cessfully managed by the ICD.