Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports
Joint Authors
Asemota, N.
Rouhani, M. J.
Raubenheimer, H.
De Souza, A. C.
Lim, E.
Harling, Leanne
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Minimal access surgery is increasingly popular to reduce postoperative morbidity and enhance recovery.
We present a case of a patient who underwent bilateral minimally invasive thoracic and cardiac surgery.
An 81-year-old woman was diagnosed with T1aN0M0 left upper lobe small-cell lung cancer and underwent single-port left video-assisted thoracoscopic surgery (VATS) upper lobectomy in 2016.
She developed a contralateral right lower lobe nodule and underwent a single-port right VATS wedge resection of the lower lobe nodule, subsequently confirmed as necrotising granulomatous inflammation with acid-fast bacilli, consistent with previous tuberculosis (TB) infection.
On postoperative day 1, she had an episode of self-reverting ventricular tachycardia and bradycardia.
Subsequent myocardial perfusion scan and coronary angiogram showed significant LV dysfunction and severe coronary artery disease with a left main stem (LMS) lesion.
After agreement at MDT, an Endo-ACAB (endoscopic atraumatic coronary artery bypass grafting) was performed, via 3 ports, with the left internal mammary artery anastomosed to left anterior descending artery.
She recovered well postoperatively and was discharged.
Multiple sequential minimally invasive procedures are now routine and can be performed safely in patients with a complex combination of pathologies.
In this case, bilateral single-port (anatomic and nonanatomic) lung resections were undertaken followed by coronary revascularisation with a total of 5 minimal access ports.
American Psychological Association (APA)
Asemota, N.& Rouhani, M. J.& Harling, Leanne& Raubenheimer, H.& De Souza, A. C.& Lim, E.. 2018. Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1151141
Modern Language Association (MLA)
Asemota, N.…[et al.]. Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports. Case Reports in Surgery No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1151141
American Medical Association (AMA)
Asemota, N.& Rouhani, M. J.& Harling, Leanne& Raubenheimer, H.& De Souza, A. C.& Lim, E.. Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1151141
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151141