RESUMO
Abstract Introduction: Significant anatomical and functional changes occur following pneumonectomy. Mediastinal structures displace toward the side of the resected lung, pulmonary reserve is reduced. Owing to these changes, surgical access to heart and great vessels becomes challenging, and there is increased risk of postoperative pulmonary complications. Methods: We performed a mitral valve replacement combined with a Ravitch procedure in a young female with previous left pneumonectomy and pectus excavatum. Results: She was discharged on postoperative day 9 and remains symptom-free 3 months after surgery. Conclusion: Thorough preoperative evaluation and intensive respiratory physiotherapy are essential before performing cardiac operations on patients with previous pneumonectomy.
Assuntos
Humanos , Feminino , Adulto , Adulto Jovem , Pneumonectomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Implante de Prótese de Valva Cardíaca/métodos , Tórax em Funil/cirurgia , Valva Mitral/cirurgia , Período Pós-Operatório , Ecocardiografia , Tomografia Computadorizada por Raios X , Modalidades de Fisioterapia , Valva Mitral/diagnóstico por imagemRESUMO
INTRODUCTION: Significant anatomical and functional changes occur following pneumonectomy. Mediastinal structures displace toward the side of the resected lung, pulmonary reserve is reduced. Owing to these changes, surgical access to heart and great vessels becomes challenging, and there is increased risk of postoperative pulmonary complications. METHODS: We performed a mitral valve replacement combined with a Ravitch procedure in a young female with previous left pneumonectomy and pectus excavatum. RESULTS: She was discharged on postoperative day 9 and remains symptom-free 3 months after surgery. CONCLUSION: Thorough preoperative evaluation and intensive respiratory physiotherapy are essential before performing cardiac operations on patients with previous pneumonectomy.