Ghotkar Sanjay V, Aerra Vikram, Mediratta Neeraj
Department of Cariothoracic Surgery, Cardiothoracic Centre, Thomas Drive, Liverpool, UK.
J Cardiothorac Surg. 2008 Mar 1;3:11. doi: 10.1186/1749-8090-3-11.
Severe pulmonary dysfunction is a commonly occurring postoperative complication following cardiac surgery. Resection of a lung causes major anatomical and physiological changes. Shift of the mediastinum and reduction in respiratory function following pneumonectomy makes cardiac surgery challenging not only for the surgeon but also for the anaesthetist. With improvement in life expectancy and better results following cardiac and pulmonary operations increasing number of patients are likely to be subjected to both of these operations during their lifetime. There is paucity of data in the literature on the subject of cardiac surgery subsequent to previous pneumonectomy. We report our experience on performing cardiac surgery following pneumonectomy to highlight certain important features that we think are important while managing these patients.
严重的肺功能障碍是心脏手术后常见的术后并发症。肺切除会导致主要的解剖和生理变化。肺切除术后纵隔移位和呼吸功能下降，这使得心脏手术不仅对外科医生，而且对麻醉医生来说都具有挑战性。随着预期寿命的提高以及心脏和肺部手术效果的改善，越来越多的患者在其一生中可能会接受这两种手术。关于既往肺切除术后心脏手术这一主题，文献中的数据很少。我们报告我们在肺切除术后进行心脏手术的经验，以突出我们认为在管理这些患者时重要的某些关键特征。
