title: Long-term results of lung decortication in patients with trapped lung secondary to coronary artery bypass grafting.
abstract: OBJECTIVE
  To evaluate long-term results of decortications in patients with symptomatic restrictive pleurisy and trapped lung after coronary bypass grafting.
  
  
  METHODS
  Twenty consecutive patients undergoing lung decortications for trapped lung after coronary bypass grafting were prospectively evaluated. Pulmonary function tests were used as objective criteria, and quality of life was assessed by the Medical Research Council dyspnea scale. A p value <0.05 was considered significant.
  
  
  RESULTS
  Twenty patients, 3 women and 17 men, with a median age of 59 years were evaluated. The median time interval between coronary bypass grafting and decortications was 9.3 months. The mean preoperative forced expiratory volume in one second and forced vital capacity were 63.8% ± 7.4% and 50.5% ± 6.6% of the predicted value, respectively, and the improvement rates after decortications were 14.97% ± 6.3% and 17.62% ± 6.38%, respectively. Dyspnea scores improved after decortications (p <0.05). The median follow-up was 25 months. After surgery, 3 patients developed superficial wound infections, and out of 7 patients with prolonged air leaks, 2 underwent re-operation. After surgery, one patient died on day 34 and another, after 3 years.
  
  
  CONCLUSIONS
  Lung decortications, re-expanding the affected lung, ensures symptom remission and improves quality of life of patients with trapped lung after coronary bypass grafting in the long-term.
authors.affiliation: Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. dr_sezaicelik@hotmail.com
authors.forename: Sezai
authors.initials: S
authors.lastname: Celik
authors.forename: Muharrem
authors.initials: M
authors.lastname: Celik
authors.forename: Bulent
authors.initials: B
authors.lastname: Aydemir
authors.forename: Cemalettin
authors.initials: C
authors.lastname: Tunckaya
authors.forename: Tamer
authors.initials: T
authors.lastname: Okay
authors.forename: Ilgaz
authors.initials: I
authors.lastname: Dogusoy
mesh_terms: D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000401:mortality; D004417:Dyspnea / Q000209:etiology / Q000601:surgery; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008297:Male; D008875:Middle Aged; D010998:Pleurisy / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D001261:Pulmonary Atelectasis / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D013510:Pulmonary Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D011788:Quality of Life; D020127:Recovery of Function; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014421:Turkey; D014797:Vital Capacity