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Ann Thorac Surg 2001;71:2016-2018
© 2001 The Society of Thoracic Surgeons

Case report

Off-pump combined coronary artery bypass grafting and left upper lobectomy through left posterolateral thoracotomy

Alsir A.M. Ahmed, FRCSa, Mazin A.I. Sarsam, FRCS(C)a

a Department of Cardiac Surgery, The Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom

Accepted for publication May 6, 2000.

Address reprint requests to Dr Ahmed, Cardiac Surgical Unit, The Royal Victoria Hospital, Grosvenor Rd, Belfast BT12 6BA, Northern Ireland, UK
e-mail: alsir{at}hotmail.com

A 61-year-old man with angina had a lesion in the left upper lobe of his lung on chest roentgenogram. Coronary angiography revealed a dominant circumflex lesion. Combined coronary artery bypass grafting (CABG) and left upper lobectomy was performed through left posterolateral thoracotomy without the use of cardiopulmonary bypass. Off-pump CABG abolishes the complications of cardiopulmonary bypass, while posterolateral thoracotomy provides a direct access to the circumflex vessels and is ideal for lung resection.




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