Simultaneous aortic valve replacement and left lower lobectomy

Technical considerations

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

An 84-year-old patient underwent combined aortic valve replacement and left lower lobectomy (LLL) for bronchogenic cancer. At surgery, which was performed via median sternotomy, the fissure was found to be totally fused. The fissure, artery, and bronchus were treated off pump, while the left inferior pulmonary vein and the inferior ligament were sectioned on pump. Finally, the stenotic aortic valve was replaced with a bioprosthesis. The postoperative course was smooth and the patient discharged on the ninth day. The simultaneous treatment of lung cancer and cardiac disease has been widely described. LLL, on the other hand, represents a surgical challenge because the left ventricle obscures the pulmonary hilum. We have performed LLL combined to aortic valve replacement using a mixed approach, partly on pump and partly off pump to reduce bleeding and hemodynamic instability, which are well-known complications.

Original languageEnglish
Pages (from-to)664-666
Number of pages3
JournalJournal of Cardiac Surgery
Volume24
Issue number6
DOIs
Publication statusPublished - Nov 2009

Fingerprint

Aortic Valve
Bioprosthesis
Sternotomy
Pulmonary Veins
Bronchi
Ligaments
Lung Diseases
Heart Ventricles
Heart Diseases
Lung Neoplasms
Arteries
Hemodynamics
Hemorrhage
Lung
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Simultaneous aortic valve replacement and left lower lobectomy : Technical considerations. / Salati, Maurizio.

In: Journal of Cardiac Surgery, Vol. 24, No. 6, 11.2009, p. 664-666.

Research output: Contribution to journalArticle

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