Combined Mitral Valve Replacement and Ravitch Procedures in a Patient with Previous Pneumonectomy: Case Report and Review of the Literature

Kayacioglu, Ilyas; Topcu, Ahmet Can; Ozeren, Kamile; Ozden, Yasin; Bolukçu, Ahmet; Yıldırım, Mehmet Aykut

doi:10.21470/1678-9741-2018-0055

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…Current knowledge is limited to 33 patients undergoing on‐pump cardiac surgery after a previous pneumonectomy 2–4 . Furthermore, data regarding long‐term follow‐up is lacking.…”

Section: Introductionmentioning

confidence: 99%

Post‐pneumonectomy patients undergoing cardiac surgery: A case series

Jacques

Rouabhia

Lafrenière-Bessi

et al. 2022

Journal of Cardiac Surgery

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Background Data regarding post‐pneumonectomy patient assessment for cardiac surgery is scarce. This retrospective study was conducted to define early and late outcomes in these patients, and to identify risk factors for poor outcomes. Methods This study included patients with a previous history of pneumonectomy undergoing on‐pump cardiac surgery with median sternotomy. The institutional database was reviewed from 1992 to 2018. Results Sixteen post‐pneumonectomy patients (all lung cancer) were identified. The age range was 53–81 years. The mean FEV1/FVC was 69%. The mean EuroSCORE II was 11.6%. Four patients had heart failure symptoms in the 2 weeks before surgery. Seven patients had isolated coronary artery bypass grafting (CABG) and six patients had CABG + aortic valve replacement (AVR). The major perioperative events affecting the ease and outcomes of the surgical procedures were structural shifts (5), extensive adhesions on heart and vessels (5), and extensive calcification of heart components (5). Important postoperative complications were respiratory (7), infections (5), and acute kidney injury (5). The median hospital length of stay was 7 days. Five patients died in hospital (none with isolated CABG) with a preoperative New York Heart Association classification (NYHA) of III–IV, a cardiopulmonary bypass time of 175.2 min and an aortic cross‐clamp time of 104.0 min. The long‐term survival data were recorded with a mean follow‐up of 7.3 ± 7.1 years (range from 0 to 19). The overall, 5‐year survival, was 50% for all cardiac surgeries, 71% for isolated CABG surgeries, and 17% for CABG + AVR surgeries, respectively. Conclusion Post‐pneumonectomy patients have acceptable postoperative outcomes and survival. Simple and short surgeries with careful planning can yield favorable outcomes for this high‐risk subgroup of patients.

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“…Current knowledge is limited to 33 patients undergoing on‐pump cardiac surgery after a previous pneumonectomy 2–4 . Furthermore, data regarding long‐term follow‐up is lacking.…”

Section: Introductionmentioning

confidence: 99%

Post‐pneumonectomy patients undergoing cardiac surgery: A case series

Jacques

Rouabhia

Lafrenière-Bessi

et al. 2022

Journal of Cardiac Surgery

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高度漏斗胸を有する急性a型大動脈解離に対してl字切開アプローチによる弓部置換術を施行した1例

et al. 2023

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A 65-year-old woman who had been diagnosed with a thoracic aneurysm was admitted to our hospital because of loss of consciousness. Brain CT revealed that the left corticomedullary junction is obscured. Contrast-enhanced CT demonstrated an acute type A aortic dissection with right internal carotid artery occlusion, left internal carotid artery stenosis, and severe pectus excavatum. Although the consciousness level at the time of admission was JCS200, it gradually improved and she regained spontaneous movement of the right side of her body. Repair of the acute type A dissection was indicated because her neurological deficit had improved. The surgery was performed via an L-shaped approach consisting of a median sternotomy and a left 5th intercostal thoracotomy with moderate hypothermic circulatory arrest and selective cerebral perfusion. An entry was found in the aortic arch between the origins of the brachiocephalic artery and the left common carotid artery, and a partial arch replacement was performed using a four-branched artificial graft. Although the right hemiparesis remained, she recovered well and was transferred to a rehabilitation hospital at 45 days postoperatively. The L-incision approach obtained a good surgical field in a patient with a type A dissection and severe pectus excavatum.

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Combined Mitral Valve Replacement and Ravitch Procedures in a Patient with Previous Pneumonectomy: Case Report and Review of the Literature

Cited by 2 publications

References 32 publications

Post‐pneumonectomy patients undergoing cardiac surgery: A case series

Post‐pneumonectomy patients undergoing cardiac surgery: A case series

高度漏斗胸を有する急性a型大動脈解離に対してl字切開アプローチによる弓部置換術を施行した1例

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