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Ann Thorac Surg 1994;58:1538-1540
© 1994 The Society of Thoracic Surgeons

Articles

Coronary artery bypass grafting after pneumonectomy

Luis D. Berrizbeitia, MDa,b, William A. Anderson, MD*,a,b, Glenn W. Laub, MDa,b, Lynn B. McGrath, MDa,b

a Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey USA
b UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey USA

Accepted for publication March 1, 1994.

* Address reprint requests to Dr Anderson, Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills NJ 08015-1799.

Coronary artery bypass grafting was carried out in a 61-year-old man 42 years after he had undergone right pneumonectomy. At the time of operation, the heart was displaced into the right hemithorax, which required modification of the operative techniques. Despite poor pulmonary function tests results preoperatively, the patient had an uneventful postoperative course. The success in this patient may be attributed to careful preoperative preparation, flexibility in the choice of techniques for establishment of cardiopulmonary bypass and coronary artery bypass grafting, and careful attention to perioperative fluid management.




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