title: Totally arterial off-pump coronary artery bypass grafting after pneumonectomy.
abstract: We report the case of an 82-year-old man who underwent triple coronary artery bypass grafting with arterial grafts, who 20 years previously underwent left pneumonectomy for lung cancer. Computed tomography (CT) presented a marked shift of the heart and great vessels into the left hemithorax. Off-pump coronary artery bypass grafting was performed through a left thoracotomy, in which the left internal thoracic, right gastroepiploic, and radial arteries were used. He was extubated 1 hour post-operatively and had an uneventful recovery.
authors.affiliation: Division of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan. ushijima@tokyo-med.ac.jp
authors.forename: Teruaki
authors.initials: T
authors.lastname: Ushijima
authors.forename: Yujiro
authors.initials: Y
authors.lastname: Kikuchi
authors.forename: Chikako
authors.initials: C
authors.lastname: Ikeda
authors.forename: Munehisa
authors.initials: M
authors.lastname: Takata
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
mesh_terms: D000369:Aged, 80 and over; D017023:Coronary Angiography / Q000379:methods; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D024405:Gastroepiploic Artery / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008323:Mammary Arteries / Q000601:surgery; D011013:Pneumonectomy; D017534:Radial Artery / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome