title: CABG 15-years after left pneumonectomy: feasibility of off-pump approach.
abstract: We report the case of a 70-year-old man who underwent off-pump coronary artery bypass grafting 15-years after left pneumonectomy. He had significant two-vessel coronary artery disease. Comorbidities included poor ventricular function and impaired respiratory function. Operative risks in this clinical setting is increased. Our patient underwent off-pump CABG x 2. Thoracic epidural analgesia was also used to facilitate post-operative recovery. The patient was extubated an hour after the end of the procedure. The role of off-pump surgery in this high-risk population and the use of stabilizing devices in these extreme anatomical situations is discussed.
authors.affiliation: Department of Cardiothoracic Surgery, St Mary's Hospital, London, UK. pankajkumar66@hotmail.com
authors.forename: Pankaj
authors.initials: P
authors.lastname: Kumar
authors.forename: Simon J P
authors.initials: SJ
authors.lastname: Swift
authors.forename: Thanos
authors.initials: T
authors.lastname: Athanasiou
authors.forename: John S
authors.initials: JS
authors.lastname: Nelson
authors.forename: B
authors.initials: B
authors.lastname: Glenville
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000209:etiology / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods; D008297:Male; D011013:Pneumonectomy; D012120:Respiration Disorders / Q000150:complications; D012501:Saphenous Vein; D013997:Time Factors; D018487:Ventricular Dysfunction, Left / Q000150:complications; D014797:Vital Capacity / Q000502:physiology