Mitral valve and coronary artery bypass surgeries 13 years after pneumonectomy for lung cancer.
We successfully performed coronary artery bypass grafting and mitral valve replacement in a 72-year-old man who had undergone a left pneumonectomy 13 years previously due to a malignant mass. The patient was admitted to our clinic with symptoms of dyspnoea, palpitations, chest pain and fatigue. He was diagnosed with mitral valve disease and two-vessel coronary artery disease, as seen from echocardiography and catheterisation studies. Conventional cardiopulmonary bypass grafting was performed following sternotomy. The patient's heart was completely displaced to the left hemithorax. Saphenous vein grafts were harvested. Distal anastomoses were performed with the use of the on-pump beatingheart technique without cross clamping. Afterwards a cross clamping was placed and a left atriotomy was performed. The mitral valve was severely calcific. A mitral valve replacement was performed using number 27 mechanical valve after the valve had been excised. The patient's postoperative course was uneventful. Cardiac contractility was seen to be normal and the mitral valve was functioning on echocardiography done in the second postoperative month.
Department of Cardiovascular Surgery, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Ozgur
O
Dag
Mehmet Ali
MA
Kaygin
Umit
U
Arslan
Adem
A
Kiymaz
Nail
N
Kahraman
Bilgehan
B
Erkut
D000368:Aged; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008946:Mitral Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011013:Pneumonectomy; D012501:Saphenous Vein / Q000637:transplantation; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome