CABG 15-Years after Left Pneumonectomy: Feasibility of Off-Pump Approach
| Autor: | Simon J. P. Swift, Thanos Athanasiou, Pankaj Kumar, John S. Nelson, Brian Glenville |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Bypass grafting medicine.medical_treatment Population Vital Capacity Coronary Disease Angina Pectoris Coronary artery disease Pneumonectomy Impaired respiratory function Ventricular Dysfunction Left Thoracic epidural Internal medicine Forced Expiratory Volume medicine Humans Saphenous Vein Radiology Nuclear Medicine and imaging Coronary Artery Bypass education Internal Mammary-Coronary Artery Anastomosis Aged education.field_of_study Ventricular function business.industry medicine.disease Respiration Disorders Surgery medicine.anatomical_structure Cardiology business Cardiology and Cardiovascular Medicine Artery |
| Zdroj: | Cardiovascular Surgery. 11:305-307 |
| ISSN: | 0967-2109 |
| Popis: | We report the case of a 70-year-old man who underwent off-pump coronary artery bypass grafting 15-years after left pneumonectomy. He had significant two-vessel coronary artery disease. Comorbidities included poor ventricular function and impaired respiratory function. Operative risks in this clinical setting is increased. Our patient underwent off-pump CABG × 2. Thoracic epidural analgesia was also used to facilitate post-operative recovery. The patient was extubated an hour after the end of the procedure. The role of off-pump surgery in this high-risk population and the use of stabilizing devices in these extreme anatomical situations is discussed. |
| Databáze: | OpenAIRE |
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