Off-pump combined coronary artery bypass grafting and left upper lobectomy through left posterolateral thoracotomy.
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.
Ahmed
A A
AA
Department of Cardiac Surgery, The Royal Victoria Hospital, Belfast, Northern Ireland. alsir@hotmail.com
Sarsam
M A
MA
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D011013:Pneumonectomy; D011859:Radiography; D013908:Thoracotomy