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CASE STUDIES |
Department of Cardiac Surgery, Ospedale Maggiore della Carita, Novara, Italy
1 Division of Thoracic and Cardiovascular Surgery, Policlinico Multimedica, Milan, Italy
For reprint information contact: Philippe-Primo Caimmi, MD Tel: 39 347 913 5414 Fax: 39 321 373 3526 Email: philippeprimo.caimmi{at}tin.it, Baluardo Massimo D Azeglio n. 5, Novara 28100, Italy.
Two patients underwent combined heart and lung surgery performed through a limited left anterior thoracotomy. Good exposure of the left pulmonary hilum and the left anterior descending artery was obtained, allowing left upper lobectomy combined with off-pump coronary bypass grafting. This approach avoids potential complications due to sternotomy, staged operations, and cardiopulmonary bypass. These cases show that a limited thoracotomy allows safe and effective combined lung and cardiac surgery in carefully selected patients.
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