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Table 1 Summary of 29 Reported Patients In The Literature With Previous Pneumonectomy who Underwent CABG and/or Valve Replacement/Repair Surgery*

From: Coronary Artery bypass grafting and/or valvular surgery in patients with previous pneumonectomy

Author/Year

Patient No.

Age/Gender/ Site/Elapsed time

Preoperative Data

Operation

Postoperative Complications/Course

Lecharpentier et al[1]/ 1988

1

66/M/Left/12 y

D LCO, (78%); PaO2, 80 mmHg; PaCO2, 43 mmHg; pH, 7.35

CABG: LIMA → LADA (median sternotomy, on-pump)

Inotropic support, respiratory failure, pneumothorax/ Discharged on day 10

 

2

66/F/Right/36 y

D LCO, (95%)

Mitral valve replacement, tricuspid valve annuloplasty (median sternotomy, on-pump)

Inotropic support, atrial fibrillation/ Died on day 12

Medalion et al[2]/1994

3

70/F/Left/40 y

FEV1, 0.95 L (45%); FVC, 1.3 L (52%)

CABG: 3 SVGs, LIMA (median sternotomy, on-pump)

None/Discharged on day 11

Shibata et al[3]/1994

4

67/M/Left/13 y

FEV1, (77%); FVC, (55%); room air PaO2, 92 mmHg; PaCO2, 45 mmHg

CABG: 3 SVGs (median sternotomy, on-pump)

None /Discharged on day 57

Berrizbeitia et al[4]/1995

5

61/M/Right/42 y

FEV1, 0.59 L (21%); FVC, 1.27 L (32%); D LCO, (48%); room air PaO2, 77 mmHg; PaCO2, 48 mmHg; pH, 7.40; TLC, 2.97 (49%); PAP, 25/14 mmHg

CABG: 3 SVGs → LADA, OMB, PDA (median sternotomy, on-pump)

None/Discharged on day 18

Izzat et al[5]/1995

6

65/M/Right/10 y

Not specified

Mitral valve replacement (median sternotomy, on-pump)

Postoperative hypotension;pneumothorax; mediastinitis; sepsis/Died on day 12

Demirtas et al[6]/1995

7

63/M/Left/20 y

FEV1, 1.09 L (36%); FVC, 1.36 L (36%); room air PaO2, 68 mmHg; PaCO2, 36 mmHg; PAP, 28/11 mmHg

CABG: LIMA → LADA SVG → 1OMG (median sternotomy, on-pump)

None /Discharged on day 7

Soltanian et al[7]/1998

8

70/F/Left/19 y

FEV1, 1.06 L; FVC, 1.58 L

CABG: SVG → LADA (left thoracotomy, on-pump)

Respiratory failure; pulmonary embolism; pneumonia /Diedon day 6

Lippmann and Au[8]/2000

9

68/M/Left/15 y

FEV1, 1.65 L (56%); FVC, 2.30 L (60%)

CABG: 3 SVGs (median sternotomy, on-pump)

Postoperative bleeding requiring re-exploration; respiratory failure; atrial fibrillation; hemothorax/ Discharged on day 48

 

10

73/M/Left/22 y

FEV1, 1.65 L (53%); FVC, 2.40 L (58%)

CABG:SVG, LIMA (median sternotomy, on-pump)

None / Discharged on day 9

Golbasi et al[9]/2001

11

58/M/Right/9 mo

FEV1, 1.42 L (50%); FVC, 1.57 L (44%); room air PaO2, 76 mmHg; PaCO2, 38 mmHg; pH, 7.51; PAP, 35/18 mmHg

CABG: 3 SVGs → LADA, 1OMB, PDA (median sternotomy, on-pump)

Respiratory failure / Discharged on day 12

Diab et al[10]/2001

12

64/M/Right/6 y

PaO2, 68 mmHg; PaCO2, 46 mmHg; pH, 7.38

CABG: SVG (median sternotomy, on-pump)

Pneumothorax / Discharged on day 20

El-Hamamsy et al[11]/2003

13

65/F/Right/51 y

FEV1,0.86 L (36%); FVC, 1.37 L (44%)

Mitral valve replacement, tricuspid valve annuloplasty (median sternotomy, on-pump)

None / Discharged on day 6

 

14

71/F/Right/50 y

FEV1, 0.60 L (28%); FVC, 0.75 L (27%)

CABG: SVGs (median sternotomy, off-pump)

None / Discharged on day 7

Kumar et al[12]/2003

15

70/M/ Left/ 15 y

FEV1, 1.74 L; FVC, 3.18 L; room air PaO2, 62 mmHg; PaCO2, 37 mmHg; KCO, (72%)

CABG: LIMA → LADA SVG → PDA (median sternotomy, off-pump)

None / Discharged on day 5

Erdil et al[13]/2004

16

51/M/ Right/ 17 y

FEV1, 1.5 L (45%); FVC, 1.9 L (43%); D LCO, (71%); PaO2, 72.6 mmHg; PaCO2, 38.7 mmHg; pH, 7.47

CABG: RA → RCA RA(Y) → LADA, OMB (median sternotomy, on-pump)

None / Discharged on day 10

Shanker et al[14]/2005

17

80/M/ Left / 27 y

FEV1, 1.0 L (46%); D LCO/VA, (53%); mean PAP, 54 mmHg

Mitral valve repair, aortic valve replacement, CABG: SVG → LADA, diagonal branch (median sternotomy, on-pump)

None / Discharged on day8

Bernet et al[15]/ 2006

18

58/M/ Right /3 y

FEV1, 1.41 L (59%); FVC, 2.22 L (59%)

CABG: LIMA → LADA SVG → LCX, RCA (median sternotomy, on-pump)

None / Discharged on day 7

MH Us et al[16]/2006

19

74/M/ Left /15 y

FEV1, 1.35 L (45%); FEV1/FVC, 0.65 (60%), PaO2, 64 mmHg; PaCO2, 45 mmHg; pH, 7.42

Mitral valve replacement, subaortic membrane resection (median sternotomy, on-pump)

None / Discharged on day 7

MH Us et al[17]/2010

20

65/M/ Left /8 y

FEV1, 1.30 L (45%); FEV1/FVC, 0.60 (50%); PaO2, 60 mmHg; PaCO2, 48 mmHg

CABG: SVG → LADA, circumflex (left thoracotomy, off-pump)

None / Discharged on day 5

Stoller et al[18]/2007

21

54/F/ Left /3 y

FEV1, 1.63 (61%); FVC, 2.03 (61%)

CABG: 3 SVGs → RCA, LADA, LCX (emergent median sternotomy, on-pump)

Respiratory failure; pneumonia / Discharged on day 26; admitted 8 y later with respiratory and congestive heart failure

 

22

48/M/ Left /18 y (before first surgery), 26 y (before second surgery)

First surgery: PAP, 65/30 mmHg; CO, 6.7 L/min. No pulmonary function tests available due to emergency of situation

Tricuspid and mitral valve repair (re-sternotomy, on-pump)

Atrial fibrillation / Discharged on postoperative day 13

Second surgery: FEV1, 1.36 L (37%); FVC, 1.94 (42%); FEV1/FVC, 0.71 (85%); RVSP, 52 mmHg

 

23

71/M/ Left /7 y

FEV1, 1.17 L (33%); FVC, 1.86 L (40%); FEV1/FVC, 0.63 (83%); room air PaO2, 79 mmHg; PaCO2, 41 mmHg; pH, 7.46

Mitral valve replacement, tricuspid valve annuloplasty (median sternotomy, on-pump)

Hypotension and renal failure; atrial fibrillation / Survived (no further data)

 

24

74/F/ Left/37 y

FEV1, 1.47 L (75%); FVC, 1.83 L (70%); FEV1/FVC, 0.81 (106%)

CABG: 4 SVGs → LADA, lateral circumflex, high lateral circumflex, diagonal branch (left thoracotomy, on-pump)

None / Discharged on day 6; experienced stroke on day 18; died on day 22

Zhao et al[19]/2008

25

57/M/ Left /7 y

FEV1, 2.24 L (62%); FVC, 3.21 L (70%)

CABG: 2 SVGs → LADA, OMB, RCA (left thoracotomy, off-pump)

None / Discharged on day 9

Ghotkar et al[20]/2008

26

71/M/ Left /18 y

FEV1, 1.1 L (42%); FVC, 1.8 L (53%); FEV1/FVC, 0.79

CABG: SVG → LADA, PDA (median sternotomy, on-pump)

Excessive bleeding requiring re-exploration; atelectasis / Discharged on day 17

 

27

77/F/ Right /13 mo

FEV1, 0.7 L (64%); FVC, 0.9 L (63%); FEV1/FVC, 1.04

Aortic valve replacement (median sternotomy, on-pump)

None / Not specified

Stamou et al[21]/2010

28

83/M/ Left /8 y

FEV1, (48%); D LCO, (77%)

Aortic valve replacement, CABG: SVGs (left thoracotomy, on-pump)

None / Discharged on day 5

Ushijima et al[22]/2011

29

82/M/ Left /20 y

FEV1, 1.28 L (64%); FVC, 1.89 L (64%); PaO2, 85 mmHg; PaCO2, 43 mmHg; pH, 7.40

CABG: LIMA, RA (Y) → LADA, posterolateral artery (left thoracotomy, off-pump)

None / Not specified

  1. * D LCO = diffusing capacity of the lung for carbon monoxide; F = female; FEV1 = forced expiratory volume in one second; FVC = forced vital capacity; KCO = transfer factor; LADA = left anterior descending artery; LCX = left anterior circumflex artery; LIMA = left internal mammary artery; M = male; OMB = obtuse marginal branch; 1OMB = first obtuse marginal branch; PaO2 = arterial oxygen partial pressure; PaCO2 = arterial carbon monoxide partial pressure; PAP = pulmonary arterial pressure; PDA = posterior descending artery; RA = radial artery; RCA = right coronary artery; RVSP = right ventricular systolic pressure; SVG = saphenous vein graft; VA = alveolar volume; (Y) = y-graft. Percentiles in parentheses refer to percentiles of predicted values. Days mentioned in the table refer to postoperative days.