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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.