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1.
Rev. bras. cir. cardiovasc ; Rev. bras. cir. cardiovasc;33(6): 608-617, Nov.-Dec. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-977477

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 imagem
2.
Braz J Cardiovasc Surg ; 33(6): 608-617, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30652751

RESUMO

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
Tórax em Funil/cirurgia , Implante de Prótese de Valva Cardíaca/métodos , Valva Mitral/cirurgia , Pneumonectomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Adulto , Ecocardiografia , Feminino , Humanos , Valva Mitral/diagnóstico por imagem , Modalidades de Fisioterapia , Período Pós-Operatório , Tomografia Computadorizada por Raios X , Adulto Jovem
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