Myocardial ischemia and infarction postthoracotomy.
The best long-term survival for any given lung cancer patient is provided by surgical resection. However, pneumonectomy still has the highest mortality rates, often due to cardiac complications. Risk assessment can be aided by preoperative evaluation of thoracic surgery patients. The role of right heart function, intraoperative management, and postoperative conditions in myocardial ischemia and infraction are analyzed, and the benefits of different kinds of resection are weighed in light of possible cardiac complications.
Herrington
C S
CS
Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis, USA.
Shumway
S J
SJ
D006801:Humans; D007432:Intraoperative Period; D008175:Lung Neoplasms / Q000601:surgery; D009203:Myocardial Infarction / Q000209:etiology / Q000503:physiopathology; D017202:Myocardial Ischemia / Q000209:etiology* / Q000503:physiopathology; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000503:physiopathology; D018570:Risk Assessment; D012307:Risk Factors; D013908:Thoracotomy; D016278:Ventricular Function, Right