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Off-pump Coronary Artery Bypass Surgery in a Patient with a Functional Single Lung - A case report-  

Yoon, Young-Choul (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Wi, Jin-Hong (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Han, Il-Yong (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Jun, Hee-Jae (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Hwang, Youn-Ho (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Cho, Kwang-Hyun (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Publication Information
Journal of Chest Surgery / v.41, no.4, 2008 , pp. 492-495 More about this Journal
Abstract
A functional single lung caused by lung diseases or pneumonectomy can result in anatomic and physiologic changes that may interfere with the conduct of subsequent coronary artery bypass surgery. Since. this type of case is extremely rare, there has not been any report on this in Korea. A 71-year-old female with a history of a destroyed left lung from pulmonary tuberculosis 13 years ago was admitted for evaluation of her increasing chest pain that she'd experienced for 2 weeks. Since coronary angiographies demonstrated 80% stenosis of the left main os, $90{\sim}95%$ stenosis of the p-LAD, 90% stenosis of the m-LCx and 90% stenosis of the RCA, coronary artery bypass surgery (CABG) was planned. Off-pump CABG with vein grafts through a median sternotomy was performed and the patient recovered the same as other CABG patients without complications.
Keywords
Coronary artery bypass surgery; Lung function;
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1 Bernet FH, Reineke DC, Grapow MT, Zerkowski HR. OPCAB surgery after right pneumonectomy. J Card Surg 2006;21:92-3.   DOI   ScienceOn
2 Kumar P, Swift SJ, Athanasiou T, Nelson JS, Glenville B. CABG 15-years after left pneumonectomy: feasibility of off-pump approach. Cardiovasc Surg 2003;11:305-7.   DOI   ScienceOn
3 Stoller JK, Blackstone E, Pettersson G, Mihaljevic T. Coronary artery bypass graft and/or valvular operations follwing prior pneumonectomy: report of four new patients and review of the literature. Chest 2007;132:295-301.   DOI   ScienceOn
4 Yazicioglu L, Aral A, Uymaz O, Akalin H. Coronary artery bypass surgery in a patient with a functional single lung. Asian Cardiovasc Thorac Ann 2005;13:337-9.   DOI   PUBMED   ScienceOn
5 Kochamba GS, Yun KL, Pfeffer TA, Sintek CF, Khonsari S. Pulmonary abnormalities after coronary arterial bypass grafting operation: cardiopulmonary bypass versus mechanical stabilization. Ann Thorac Surg 2000;69:1466-70.   DOI   ScienceOn
6 Us MH, Arslan Y, Ozbek C, et al. Coronary artery bypass grafting after left pneumonectomy. J Cardiothorac Vasc Anesth 2006;20:709-11.   DOI   ScienceOn