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Cardiac Operation With Associated Pulmonary Resection: a Word of Caution

Division of Cardiothoracic Surgery Department of Surgery The Chinese University of Hong Kong Prince of Wales Hospital Shatin, New Territories, Hong Kong People‘s Republic of China
For reprint information contact: Ahmed A Arifi, MD Tel: 352 2632 2629 Fax: 852 2637 7974 email: Arifiahmed{at}hotmail.com Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, People‘s Republic of China.

Pulmonary tuberculosis reactivation is an unusual cause of respiratory failure after cardiac surgery. Fulminating tuberculosis was reactivated in a 50-year-old man after combined coronary artery bypass grafting and pulmonary resection on cardiopulmonary bypass. Clinicians should be aware of the immunosuppressive effects associated with cardiopulmonary bypass, and the consequent potential for tuberculosis reactivation.