| Coronary artery bypass grafting after pneumonectomy. | |
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MedLine Citation:
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PMID: 19156245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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When open-heart operations are necessary in patients who have undergone pneumonectomy, the unavoidable shift of mediastinal structures should be carefully considered. Surgical access, revascularization procedures, and the institution of cardiopulmonary bypass can all require approaches that differ from the usual. In particular, no general recommendations exist regarding the management of patients who undergo coronary artery bypass grafting after pneumonectomy. We successfully performed coronary artery bypass grafting in a 57-year-old man who had undergone a left pneumonectomy 7 years previously. Because the patient's heart was completely displaced into the left posterior hemithorax, access via a left posterolateral thoracotomy was chosen. Saphenous vein grafts were chosen over the internal mammary artery. The distal anastomoses were performed with use of the off-pump technique; for the proximal anastomosis, 2 venous grafts were implanted into the descending aorta. The patient's postoperative course was uneventful, and postoperative angiography revealed patent grafts. Herein, we discuss the case of this patient, and we present some considerations that can influence surgical approaches in similar circumstances. |
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Authors:
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Bai-Qin Zhao; Ru-Kun Chen; Jian-Ping Song |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 35 ISSN: 1526-6702 ISO Abbreviation: Tex Heart Inst J Publication Date: 2008 |
Date Detail:
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Created Date: 2009-01-21 Completed Date: 2009-08-19 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
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Languages: eng Pagination: 470-1 Citation Subset: IM |
Affiliation:
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Department of Thoracic & Cardiovascular Surgery, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, People's Republic of China. zhaobaiqin@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angina, Unstable
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etiology,
surgery* Aorta, Thoracic Coronary Artery Bypass / methods* Coronary Artery Disease / complications, surgery* Humans Male Middle Aged Pneumonectomy / adverse effects* Respiratory Insufficiency / complications Saphenous Vein / transplantation |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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