Preoperative Embolization and Total Left Pneumonectomy for a Giant Pulmonary Solitary Fibrous Tumor

Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm; pulmonary cases can become massive and hypervascular, increasing surgical risk. A 71-year-old woman with a giant pulmonary SFT underwent preoperative angiography, which identified the internal thoracic artery as the dominant feeder. Selective embolization was performed, followed by total left pneumonectomy without cardiopulmonary support. Pathology confirmed margin-negative (R0) resection without pulmonary infiltration or nodal involvement. The postoperative course was uneventful, and no recurrence has been observed for 2.5 years. Preoperative angiographic evaluation and embolization are effective strategies to enhance surgical safety in managing hypervascular giant pulmonary SFTs.