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J Thorac Cardiovasc Surg 2003;125:215-216
© 2003 The American Association for Thoracic Surgery

Brief Communications

Right pneumonectomy and thoracoplasty followed by coronary artery bypass grafting and mitral valve replacement

I. El-Hamamsy, MD*, L-M. Stevens, MD*, L. P. Perrault, MD, PhD, M. Carrier, MD Montreal, Quebec, Canada

From the Research Center, Montreal Heart Institute, Montreal, Quebec, Canada.

Received for publication June 4, 2002. Accepted for publication June 13, 2002. Address for reprints: L. P. Perrault, MD, PhD, Research Center, Montreal Heart Institute, 5000 Bélanger Street East, Montréal, Québec H1T 1C8, Canada (E-mail: lpperrau@icm.umontreal.ca).

The first 20% of the full text of this article appears below.

Simultaneous cardiac surgery and pulmonary resection for lung cancer has been proposed by several authors.Go 1 Furthermore, lung resection continues to be used in some cases of multi-drug resistant tuberculosisGo 2 and also to treat complicated lesions in cases of sequelar forms of pulmonary tuberculosis.Go 3 Right pneumonectomy and thoracoplasty were used in the 1950s for active tuberculosis. These operations caused significant chest deformity and impairment of pulmonary function tests. Three long-term survivors of such operations requiring cardiac surgery were recently encountered. This report discusses cardiac procedures after right pneumonectomy and thoracoplasty.

Clinical summaries

Patient 1
A 65-year-old woman with severe mitral and tricuspid insufficiency was evaluated for surgical intervention. She had undergone a right pneumonectomy and thoracoplasty in 1952 for active tuberculosis. Deformity of the right side of the chest was obvious . . . [Full Text of this Article]




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J. K. Stoller, E. Blackstone, G. Pettersson, and T. Mihaljevic
Coronary Artery Bypass Graft and/or Valvular Operations Following Prior Pneumonectomy: Report of Four New Patients and Review of the Literature
Chest, July 1, 2007; 132(1): 295 - 301.
[Abstract] [Full Text] [PDF]


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