Preservation of the lima pedicle after cardiac surgery in left upper lobectomy

Michael E Halkos; Andrew J Sherman; Joseph I Miller Jr

doi:10.1016/s0003-4975(02)04962-7

Preservation of the lima pedicle after cardiac surgery in left upper lobectomy

Ann Thorac Surg. 2003 Jul;76(1):280-1. doi: 10.1016/s0003-4975(02)04962-7.

Authors

Michael E Halkos¹, Andrew J Sherman, Joseph I Miller Jr

Affiliation

¹ Department of Cardiothoracic Surgery, Crawford Long Hospital of Emory University, Emory University Hospital, Emory University School of Medicine, Atlanta, Georgia 30308-2225, USA.

PMID: 12842561
DOI: 10.1016/s0003-4975(02)04962-7

Abstract

Left internal mammary artery (LIMA) harvesting for coronary artery bypass grafting often complicates future thoracic procedures because of adhesion formation in the left chest and to the left upper lobe. We describe an adjuvant approach to left upper lobectomy for bronchogenic carcinoma in a patient with previous LIMA harvesting and grafting in which we preserved the LIMA pedicle, while still providing near complete lobe resection.

Publication types

Case Reports

MeSH terms

Aged
Aged, 80 and over
Carcinoma, Non-Small-Cell Lung / complications
Carcinoma, Non-Small-Cell Lung / pathology
Carcinoma, Non-Small-Cell Lung / surgery*
Coronary Artery Bypass / methods*
Coronary Stenosis / complications
Coronary Stenosis / diagnosis
Coronary Stenosis / surgery
Follow-Up Studies
Humans
Internal Mammary-Coronary Artery Anastomosis*
Lung Neoplasms / complications
Lung Neoplasms / pathology
Lung Neoplasms / surgery*
Male
Pneumonectomy / methods*
Preservation, Biological
Risk Assessment
Thoracotomy
Treatment Outcome