Asian Annals
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Masashi Toyama
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Asian Cardiovasc Thorac Ann 2007;15:e75-e76
© 2007 Asia Publishing EXchange Ltd

CASE STUDIES

Combined Coronary Artery Re-operation and Pulmonary Resection for Hemoptysis

Tomonobu Abe, MD, Makoto Kajiyama, MD, Keiji Ohara, MD, Mineo Asaoka, MD, Masashi Toyama, MD, Atsukata Kobayashi, MD

Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, Aichi, Japan

We present a 59-year-old woman who underwent combined pulmonary resection for bronchiectasis with massive, recurrent hemoptysis and redo coronary artery bypass. She had previously been hospitalized four times for massive hemoptysis. She had also undergone coronary artery bypass and had symptomatic severe graft disease. We performed simultaneous right middle lobectomy and redo triple bypass. At surgery, lobectomy was performed before heparinization, then redo bypass was performed using on-pump cardiopulmonary bypass. The postoperative course was uneventful.






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