Combined cardiac and lung volume reduction surgery.
Coronary artery disease is prevalent in patients who have severe emphysema and who are being considered for lung volume reduction surgery (LVRS). Significant valvular heart diseases may also coexist in these patients. Few thoracic surgeons have performed LVRS in patients who have severe cardiac diseases. Conversely, few cardiac surgeons have been willing to undertake major cardiac surgery in patients who have severe emphysema. This report reviews the evidence regarding combined cardiac surgery and LVRS to determine the optimal management strategy for patients who have severe emphysema and who are suitable for LVRS, but who also have coexisting significant cardiac diseases that are operable.
Choong
Cliff K
CK
Papworth Hospital NHS Foundation Trust and Department of Surgery, The University of Cambridge, Cambridge, UK. cliffchoong@hotmail.com
Schmid
Ralph A
RA
Miller
Daniel L
DL
Smith
Julian A
JA
D006348:Cardiac Surgical Procedures; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D011013:Pneumonectomy; D011656:Pulmonary Emphysema / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome