Sternothoracotomy for combined coronary artery bypass grafting and left upper lobectomy in a patient with low-lying tracheostoma.

نویسندگان

  • F D Rubens
  • E O'Brien
  • F Shamji
  • J O'Neil
  • P F Odell
چکیده

A 64-year-old man had a low-lying tracheostoma and presented with unstable angina and a mass in the pulmonary left upper lobe. Simultaneous coronary revascularization and resection of the lung neoplasm were completed through a sternothoracotomy (clam-shell) incision. The advantages of this approach include excellent exposure to the mediastinum and the lung fields, and the option of using both internal thoracic arteries for bypass grafting.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

High-risk Coronary Artery Bypass Grafting and Mitral Valve Replacement in a HIV Positive Patient

Certain subsets of high-risk mitral valve patients are not suitable candidates for transcatheter therapies. The objective of this report is to present a young patient with combined mitral valve and coronary artery disease to illustrate these challenges.In this report, we present a 47-year-old man with longstanding HIV infection who was referred with severe mitral regurgitation (MR) and profound...

متن کامل

Massive hemoptysis caused by a ruptured subclavian artery aneurysm.

We report a case of left subclavian artery aneurysm, which ruptured and penetrated through the left upper lung parenchyma causing massive hemoptysis and a left hemothorax. Through sternothoracotomy, tangential aneurysmorrhaphy under proximal control and left upper pulmonary lobectomy were performed. The patient is doing well after nearly three years of follow-up.

متن کامل

Cardiac Myxoma Removal and Coronary Artery Bypass Grafting in a Middle-Aged Woman: A Case Report

Cardiac myxoma is usually a benign tumor in the left atrium that accounts for more than 50% of primary cardiac tumors. A 55-year-old female referred to our hospital with chest pain, referred pain to the left hand, and severe dyspnea. Transthoracic Doppler Echocardiography was performed and the results showed a large and mobile left atrial mass without any attachment to the interatrial septum. I...

متن کامل

Avoidance of Dialysis in an End-Stage Renal Disease Patient Status-post Off-pump Coronary Artery Bypass Grafting

Certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (CABG) as compared with the on-pump CABG. The superiority is more evident in patients with multiple co morbidities including renal failure.We reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-sta...

متن کامل

The Effect of Combined Training Courses on the Expression of ABCG4 Gene and Interleukin-10 in Men after Coronary Artery Bypass Grafting

Introduction: Lipid metabolism disorders, especially raised levels of cholesterol and triglycerides increases the risk of atherosclerosis. The adenosine triphosphate ABC transporter family plays an important role in reverse cholesterol transport process; Therefore, the aim of this study was to investigate The effect of combined training Courses on the Expression of ABCG4 Gene and interleukin 10...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Canadian journal of surgery. Journal canadien de chirurgie

دوره 42 2  شماره 

صفحات  -

تاریخ انتشار 1999