COMBINED CORONARY ARTERY BYPASS GRAFTING AND LEFT PNEUMONECTOMY USING LEFT THORACOTOMY

Hasan Basri Erdoğan, Denyan Mansuroğlu, Murat Bülent Rabuş, Füsun Güzelmeriç, Kaan Kırali, Mustafa Güler, Cevat Yakut

Koşuyolu Kalp Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul
Koşuyolu Kalp Eğitim ve Araştırma Hastanesi, Anesteziyoloji Kliniği, İstanbul

Coronary arterial bypass procedures concommitant with pneumonectomy have with high mortality rate and prolonged intensive care stay. In particular, on-pump coronary arterial bypass grafting has a high mortaity and morbidity. To avoid the side effects of cardiopulmonary bypass, off-pump procedures are favored over on-pump coronary arterial bypass grafting. We performed a left pneumonectomy via left thoracotomy, then proceed to off-pump coronary arterial bypass grafting to the left anterior descending artery and first diagonal artery using a saphenous Y graft with its proximal anastomosis on the descending aorta to a 70 years old male patient. In his first month postoperatively, patient has a normal physical activity.

Keywords : Coronary artery bypass grafting, pneumonectomy, off-pump, thoracotomy, combined surgery

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