Pneumonectomy in the seventh decade in a patient with a congenital uncorrected ventricular septal defect.
We describe the successful treatment of a patient in his seventh decade with a congenital uncorrected ventricular septal defect (VSD), moderate aortic stenosis and carcinoma of the lung, who underwent a successful pneumonectomy. Preoperative and intraoperative assessment of pulmonary artery pressure are essential to manage this combination of cardiac and thoracic pathologies. After pneumonectomy, echocardiography can be difficult. Magnetic resonance imaging (MRI) is useful to assess intra-cardiac defects in this situation.
Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK. mike.poullis@lhch.nhs.uk
Michael
M
Poullis
Richard
R
Warwick
Michael
M
Shackcloth
Timothy
T
Ridgeway
D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications; D001794:Blood Pressure; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D011013:Pneumonectomy; D011651:Pulmonary Artery / Q000503:physiopathology; D016896:Treatment Outcome