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The Journal of Cardiovascular Surgery 1999 February;40(1):161-3

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Concomitant coronary artery revascularization and right pneumonectomy without cardiopulmonary bypass

Hensens A. G. *, Zeebregts C. J. A. M. °°, Liem T. H. **, Gehlmann H. °, Lacquet L. K. *

From the Department of * Thoracic and Cardiac Surgery ** Anesthesiology and ° Cardiology University Hospital, Nijmegen, The Netherlands and the °° Department of Surgery University Hospital, Groningen, The Netherlands

Com­bined cor­o­nary ­artery ­bypass ­grafting (­CABG) and pneu­mo­nec­tomy has a ­high mor­bidity and mor­tality ­rate, espe­cially ­when the ­right ­lung has to be ­removed. A ­patient is ­described who under­went a ­CABG oper­a­tion ­through a mid­line ster­notomy ­without the use of car­di­o­pul­mo­nary ­bypass (CPB), and a ­right pneu­mo­nec­tomy ­through a ­right lat­eral thor­a­cotomy in one oper­a­tive ses­sion. To our knowl­edge, ­this is the ­first ­case in ­which ­this oper­a­tive ­strategy was ­employed. ­CABG oper­a­tions ­without the use of CPB ­might put con­com­i­tant ­lung sur­gery in a new per­spec­tive.