Combined Mitral Valve Replacement and Ravitch Procedures in a Patient with Previous Pneumonectomy: Case Report and Review of the Literature

Kayacioglu, Ilyas; Topcu, Ahmet Can; Ozeren, Kamile; Ozden, Yasin; Bolukcu, Ahmet; Yildirim, Mehmet

doi:10.21470/1678-9741-2018-0055

Ilyas Kayacioglu

MD

Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Ahmet Can Topcu Correspondence Address: Ahmet Can Topcu, Selimiye Mh. Tibbiye Cd., No: 13, Uskudar, Istanbul, Turkey, Zip code: 34668. E-mail: ahmet.topcu@icloud.com

MD

Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Kamile Ozeren

MD

Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Yasin Ozden

MD

Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Ahmet Bolukcu

MD

Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Mehmet Yildirim

MD

Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Correspondence Address: Ahmet Can Topcu, Selimiye Mh. Tibbiye Cd., No: 13, Uskudar, Istanbul, Turkey, Zip code: 34668. E-mail: ahmet.topcu@icloud.com

No conflict of interest.

Abbreviations, acronyms & symbols
CABG	= Coronary artery bypass grafting
CPB	= Cardiopulmonary bypass
CT	= Computed tomography
Cx	= Circumflex
FEV₁	= Forced expiratory volume in 1^st second
FVC	= Forced vital capacity
LAD	= Left anterior descending
LITA	= Left internal thoracic artery
MRI	= Magnetic resonance imaging

Patient no.	Author	Publication year	Sex	Age	Pneumonectomy site	Years elapsed after pneumonectomy	Indication for pneumonectomy	Preoperative data		Operation	Operative details	Complications	Length of hospital stay (days)
Patient no.	Author	Publication year	Sex	Age	Pneumonectomy site	Years elapsed after pneumonectomy	Indication for pneumonectomy	FEV₁ (percent of predicted value)	FVC (percent of predicted value)	Operation	Operative details	Complications	Length of hospital stay (days)
1	Berrizbeitia et al.^[3]3 Berrizbeitia LD, Anderson WA, Laub GW, McGrath LB. Coronary artery bypass grafting after pneumonectomy. Ann Thorac Surg. 1994;58(5):1538-40.	1994	M	61	Right	42	Bronchiectasis	21	32	CABG	- 3 SVGs to LAD, OMB, and PDA - Median sternotomy - On-pump	None	8
2	Shibata et al.^[4]4 Shibata T, Suehiro S, Kimura E, Nishizawa H, Minamimura H, Kinoshita H. Coronary artery bypass grafting 13 years after pneumonectomy. Nihon Kyobu Geka Gakkai Zasshi. 1994;42(7):1105-7.	1994	M	67	Left	13	Cancer	77	55	CABG	- 3 SVGs - Median sternotomy - On-pump	None	57
3	Medalion et al.^[5]5 Medalion B, Elami A, Milgalter E, Merin G. Open heart operation after pneumonectomy. Ann Thorac Surg. 1994;58(3):882-4.	1994	F	70	Left	40	Tuberculosis	45	52	CABG	- LITA and 3 SVGs - Median sternotomy - On-pump	None	11
4	Demirtas et al.^[6]6 Demirtas MM, Akar H, Kaplan M, Dagsali S. Coronary artery bypass operation after pneumonectomy. Ann Thorac Surg. 1995;60(1):232-3.	1995	M	63	Left	20	Cancer	36	36	CABG	- LITA and SVG to LAD and OMB - Median sternotomy - On-pump	Prolonged inotropic support, low cardiac output requiring intra-aortic balloon pump insertion, right-sided pneumothorax requiring re-intubation and chest tube insertion, mediastinitis and sternal detachment requiring re-operation, sepsis, and death	12
5	Izzat et al.^[7]7 Izzat MB, Regragui IA, Angelini GD. Mitral valve replacement after previous right pneumonectomy. Ann Thorac Surg. 1995;59(1):222-4.	1995	M	65	Right	10	Cancer	N/A	N/A	Mitral valve replacement	- Approach to mitral valve through left atrial appendage - Median sternotomy - On-pump	None	7
6	Soltanian et al.^[8]8 Soltanian H, Sanders JH Jr, Robb JC, Marrin CA. Hybrid myocardial revascularization after previous left pneumonectomy. Ann Thorac Surg. 1998;65(1):259-60.	1998	F	70	Left	19	Cancer	N/A	N/A	CABG	- SVG to LAD - Left thoracotomy - Off-pump	None	7
7	Lippmann and Au^[9]9 Lippmann M, Au J. Coronary artery bypass surgery after previous pneumonectomy: two case reports. Scand Cardiovasc J. 2000;34(5):541-2.	2000	M	68	Left	15	Cancer	56	60	CABG	- SVGs - Median sternotomy - On-pump	Bronchopneumonia, pulmonary embolism, respiratory failure requiring re-intubation, and death	6
8		2000	M	73	Left	22	Cancer	53	58	CABG	- LITA and SVGs - Median sternotomy - On-pump	Postoperative bleeding requiring re-exploration, atrial fibrillation, hemothorax requiring re-intubation, and chest tube insertion	48
9	Gölbasi et al.^[10]10 Gölbasi I, Türkay C, Sahin N, Oz N, Akbulut E, Gülmez H, et al. Coronary artery bypass grafting nine months after pneumonectomy. Tex Heart Inst J. 2001;28(2):146-8.	2001	M	58	Right	0.75	Cancer	50	44	CABG	- SVGs to LAD, OMB, and RCA - Median sternotomy - On-pump	None	9
10	Diab et al.^[11]11 Diab KA, Khatib MF, Obeid M, Jamaleddine GW. Coronary artery bypass grafting after pneumonectomy. Eur J Cardiothorac Surg. 2001;19(3):362-4., Jamaleddine and Obeid^[12]12 Jamaleddine GW, Obeid M. Reply to Pezzella. Eur J Cardiothorac Surg. 2001;20:1274.	2001	M	64	Right	6	Trauma	N/A	N/A	CABG	- SVGs to LAD, Cx, and RCA - Median sternotomy - On-pump	Respiratory failure requiring re-intubation	12
11	El-Hamamsy et al.^[13]13 El-Hamamsy I, Stevens LM, Perrault LP, Carrier M. Right pneumonectomy and thoracoplasty followed by coronary artery bypass grafting and mitral valve replacement. J Thorac Cardiovasc Surg. 2003;125(1):215-6.	2003	F	65	Right	51	Tuberculosis	36	44	Mitral valve replacement and tricuspid valve annuloplasty	- Standard left atrial approach - Median sternotomy - On-pump	Pneumothorax requiring chest tube insertion	20
12		2003	F	71	Right	50	Tuberculosis	28	27	CABG	- 3 SVGs - Median sternotomy - Off-pump	None	6
13	Kumar et al.^[14]14 Kumar P, Swift SJ, Athanasiou T, Nelson JS, Glenville B. CABG 15-years after left pneumonectomy: feasibility of off-pump approach. Cardiovasc Surg. 2003;11(4):305-7.	2003	M	70	Left	15	Cancer	N/A	N/A	CABG	- LITA and SVG to LAD and PDA - Median sternotomy - Off-pump	None	7
14	Erdil et al.^[15]15 Erdil N, Nisanoglu V, Toprak HI, Erdil FA, Kuzucu A, Battaloglu B. Arterial myocardial revascularization using bilateral radial artery 17 years after right pneumonectomy. Tex Heart Inst J. 2004;31(1):96-8.	2004	M	51	Right	17	Tuberculosis	45	43	CABG	- 2 RAs to LAD, OMB, and RCA - Median sternotomy - On-pump	None	5
15	Shanker et al.^[16]16 Shanker VR, Yadav S, Hodge AJ. Coronary artery bypass grafting with valvular heart surgery after pneumonectomy. ANZ J Surg. 2005;75(1-2):88-90.	2005	M	80	Left	27	Cancer	46	N/A	CABG, mitral valve repair, and aortic valve replacement	- 1 SVG to LAD and diagonal artery - Approach to both valves via aortotomy - Bioprosthetic aortic valve - Median sternotomy - On-pump	None	10
16	Bernet et al.^[17]17 Bernet FH, Reineke DC, Grapow MT, Zerkowski HR. OPCAB surgery after right pneumonectomy. J Card Surg. 2006;21(1):92-3.	2006	M	58	Right	3	Cancer	59	59	CABG	- LITA and SVG to LAD and OMB - Median sternotomy - Off-pump	None	8
17	Hukusi Us et al.^[18]18 Hulusi Us M, Arslan Y, Ozbek C, Basaran M, Yidiz Y, Ogus T, et al. Coronary artery bypass grafting after left pneumonectomy. J Cardiothorac Vasc Anesth. 2006;20(5):709-11.	2006	M	74	Left	15	Cancer	45	60	CABG	- LITA and SVG to LAD, Cx, and RCA - Median sternotomy - On-pump	None	7
18	Stoller et al.^[19]19 Stoller JK, Blackstone E, Petterson G, Mihaljevic T. Coronary artery bypass graft and/or valvular operations following prior pneumonectomy: report of four new patients and review of the literature. Chest. 2007;132(1):295-301.	2007	F	54	Left	3	Cancer	61	61	CABG	- SVGs to LAD and Cx - Left thoracotomy - Off-pump	None	5
19			M	48	Left	18	Cancer	N/A	N/A	CABG	- 3 SVGs to LAD, Cx, and RCA - Median sternotomy - On-pump	Respiratory failure requiring prolonged mechanical ventilation and extracorporeal membrane oxygenation and pneumonia	26
19			M	48	Left	26	Cancer	37	42	Mitral and tricuspid valve repair	- Right atriotomy and transseptal approach - Re-sternotomy - On-pump, deep hypothermic circulatory arrest	Atrial fibrillation	13
20			M	71	Left	7	Cancer	33	40	Mitral valve replacement and tricuspid valve annuloplasty	- Right atriotomy and transseptal approach - Median sternotomy - On-pump	Renal failure and atrial fibrillation	N/A
21			F	74	Left	37	Cancer	75	70	CABG	- 4 SVGs to LAD, OMBs, and RCA - Left thoracotomy - On-pump	None	6
22	Sleilaty et al.^[20]20 Sleilaty G, Yazigi A, El Asmar B, Hajj-Chahine J, Nakad J, Madi-Jebara S, et al. Combined coronary surgery and aortic valve replacement after previous right pneumonectomy. J Med Liban. 2007;55(2):101-3.	2007	M	71	Right	20	Trauma	53	48	CABG and aortic valve replacement	- SVG to diagonal artery - Bioprosthetic aortic valve - Median sternotomy - On-pump	None	13
23	Barreda et al.^[21]21 Barreda T, Laali M, Dorent R, Acar C. Left thoracotomy for aortic and mitral valve surgery in a case of mediastinal displacement due to pneumonectomy. J Heart Valve Dis. 2008;17(2):239-42.	2008	M	68	Left	4	Cancer	N/A	N/A	Aortic valve replacement	- Left anterior thoracotomy - On-pump	Re-exploration for worsening of preoperative mitral insufficiency due to leaflet tethering 1 day after aortic valve replacement	N/A
23		2008	M	68	Left	4	Cancer	N/A	N/A	Mitral valve annuloplasty	- Left posterior thoracotomy - On-pump		N/A
24	Ghotkar et al.^[22]22 Ghotkar SV, Aerra V, Mediratta N. Cardiac surgery in patients with previous pneumonectomy. J Cardiothorac Surg. 2008;3:11.	2008	M	71	Left	18	Cancer	42	53	CABG	- SVG to LAD and PDA - Median sternotomy - On-pump	Postoperative bleeding requiring re-exploration and atrial fibrillation	17
25		2008	F	77	Right	1	Cancer	64	63	Aortic valve replacement	- Bioprosthetic aortic valve	None	N/A
26	Zhao et al.^[23]23 Zhao BQ, Chen RK, Song JP. Coronary artery bypass grafting after pneumonectomy. Tex Heart Inst J. 2008;35(4):470-1.	2008	M	57	Left	7	Cancer	61.9	70.3	CABG	- 2 SVGs to LAD, RCA, and OMB - Left posterolateral thoracotomy - Off-pump	None	9
27	Us et al. ^[24]24 Us MH, Ugurlucan M, Basaran M, Selimoglu O, Kocailik A. Mitral valve replacement and subaortic membrane resection following pneumonectomy. Case Rep Med. 2010;2010:480703.	2010	M	65	Left	8	N/A	45	50	Mitral valve replacement and subaortic membrane resection	- transseptal approach and aortotomy - mechanical mitral valve prosthesis - median sternotomy - on-pump	None	7
28	Stamou et al. ^[25]25 Stamou SC, Murphy MC, Kouchoukos NT. Aortic valve replacement and coronary artery bypass via left anterior thoracotomy after previous left pneumonectomy. J Thorac Cardiovasc Surg. 2010;140(3):719-20.	2010	M	83	Left	8	Cancer	48	N/A	CABG and aortic valve replacement	- left anterolateral thoracotomy - on-pump	None	5
29	Ferrari et al. ^[26]26 Ferrari E, Sulzer C, Marcucci C, Qanadly SD, Locca D, Berdajs D, et al. Transapical aortic valve implantation following left pneumonectomy. J Card Surg. 2011;26(1):28-30.	2011	M	64	Left	8	Cancer	N/A	N/A	Transapical aortic valve implantation	- left anterolateral thoracotomy - off-pump	None	N/A
30	Raja et al. ^[27]27 Raja Y, Mascaro J, Doshi SN. Successful implantation of the Edwards Sapien THV via direct aortic access in a patient with previous pneumonectomy and no other access. Catheter Cardiovasc Interv. 2011;78(7):1008-12.	2011	F	67	Right	18	Cancer	49	N/A	Transapical aortic valve implantation	- right anterior thoracotomy - off-pump	None	4
31	Ushijima et al. ^[28]28 Ushijima T, Kikuchi Y, Ikeda C, Takata M, Yamamoto Y, Watanabe G. Totally arterial off-pump coronary artery bypass grafting after pneumonectomy. Ann Thorac Cardiovasc Surg. 2011;17(3):320-2.	2011	M	82	Left	20	Cancer	63.8	63.8	CABG	- LITA, RA and RGEA to LAD, PL and PDA - left thoracotomy - off-pump	None	N/A
32	Wilhelmi et al. ^[29]29 Wilhelmi M, Rodt T, Ismail I, Haverich A. Aortic valve replacement via right anterolateral thoracotomy in the case of a patient with extreme mediastinal right-shift following pneumonectomy. J Cardiothorac Surg. 2013;8:20.	2013	M	68	Right	8	Cancer	56	58	Aortic valve replacement	- bioprosthetic aortic valve - right anterolateral thoracotomy - on-pump	None	6
33	Dag et al. ^[30]30 Dag O, Kaygin MA, Arslan U, Kiymaz A, Kahraman N, Erkut B. Mitral valve and coronary artery bypass surgeries 13 years after pneumonectomy for lung cancer. Cardiovasc J Afr. 2013;24(8):e1-4.	2013	M	72	Left	13	Cancer	N/A	N/A	CABG and mitral valve replacement	- SVG to LAD and RCA - standard left atrial approach - mechanical mitral valve prosthesis - median sternotomy - on-pump	None	N/A
34	Gennari et al. ^[31]31 Gennari M, Kassem S, Teruzzi G, Agrifoglio M. Coronary artery disease associated with severe mitral and tricuspid valve regurgitation after left pneumonectomy: report of a successful hybrid procedure. Interact Cardiovasc Thorac Surg. 2014;19(2):318-20.	2014	M	71	Left	4	Cancer	53	54	Mitral and tricuspid valve repair	- median sternotomy - on-pump	None	11
35	Rose et al. ^[32]32 Rose D, Liew CK, Zacharias J. Mitral valve repair after a right pneumonectomy: a minimally invasive approach. Interact Cardiovasc Thorac Surg. 2015;21(4):551-3.	2015	M	31	Right	8	Cancer	N/A	N/A	Mitral valve repair	- left atrial approach - video-assisted right thoracotomy - on-pump	None	8
36	Takahashi et al. ^[33]33 Takahashi Y, Shibata T, Sasaki Y, Kato Y, Motoki M, Morisaki A, et al. A cranial-sided approach for repeated mitral periprosthetic leak after right pneumonectomy. Ann Thorac Surg. 2016;101(3):1174-6.	2016	M	72	Right	32	Tuberculosis	N/A	N/A	Mitral valve replacement	- Right thoracotomy - on-pump	Periprosthetic leak	N/A
						32		N/A	N/A	Repair of mitral peri-prosthetic leak (2 months after valve replacement)	- Right thoracotomy - on-pump	None	N/A
						40		N/A	N/A	Repair of mitral peri-prosthetic leak (8 years after valve replacement)	- Cranial-sided approach to left atrium - median sternotomy - on-pump	None	N/A
37	Sinha et al. ^[34]34 Sinha S, Morgan-Hughes N, O'Toole L, Hunter S. Minimal access mitral valve repair in a patient with a right pneumonectomy for Scimitar syndrome. Interact Cardiovasc Thorac Surg. 2016;22(6):851-3.	2016	M	61	Right	47	Scimitar syndrome	N/A	N/A	Mitral valve repair	- left atrial approach - video-assisted right thoracotomy - on-pump	None	5
38	Current patient	2018	F	24	Left	10	Bronchiectasis	34.6	31.7	Mitral valve replacement and tricuspid valve annuloplasty	- standard left atrial approach - median sternotomy combined with Ravitch procedure - on-pump	None	9

Authors’ roles & responsibilities
IK	Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; final approval of the version to be published
ACT	Substantial contributions to the conception or design of the work; final approval of the version to be published
KO	Substantial contributions to the conception or design of the work; final approval of the version to be published
YO	Substantial contributions to the conception or design of the work; final approval of the version to be published
AB	Substantial contributions to the conception or design of the work; final approval of the version to be published
MY	Substantial contributions to the conception or design of the work; final approval of the version to be published

[1] Correspondence Address: Ahmet Can Topcu, Selimiye Mh. Tibbiye Cd., No: 13, Uskudar, Istanbul, Turkey, Zip code: 34668. E-mail: ahmet.topcu@icloud.com

Brasil

Brasil

Combined Mitral Valve Replacement and Ravitch Procedures in a Patient with Previous Pneumonectomy: Case Report and Review of the Literature

Abstract

Introduction:

Methods:

Results:

Conclusion: