Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports
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 un...
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| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/9659232 |
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| author | N. Asemota M. J. Rouhani L. Harling H. Raubenheimer A. C. De Souza E. Lim |
| author_facet | N. Asemota M. J. Rouhani L. Harling H. Raubenheimer A. C. De Souza E. Lim |
| author_sort | N. Asemota |
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| description | 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. |
| format | Article |
| id | doaj-art-3a213811579f44a29bd1ba7286c1bc84 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
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| series | Case Reports in Surgery |
| spelling | doaj-art-3a213811579f44a29bd1ba7286c1bc842025-02-03T01:30:01ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/96592329659232Minimally Invasive Bilateral Lung Resections and CABG through 5 PortsN. Asemota0M. J. Rouhani1L. Harling2H. Raubenheimer3A. C. De Souza4E. Lim5The University of Nottingham, Queen’s Medical Centre, Derby Road, Nottingham NG7 2UH, UKDepartment of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UKDepartment of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UKDepartment of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UKDepartment of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UKDepartment of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UKMinimal 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.http://dx.doi.org/10.1155/2018/9659232 |
| spellingShingle | N. Asemota M. J. Rouhani L. Harling H. Raubenheimer A. C. De Souza E. Lim Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports Case Reports in Surgery |
| title | Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports |
| title_full | Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports |
| title_fullStr | Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports |
| title_full_unstemmed | Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports |
| title_short | Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports |
| title_sort | minimally invasive bilateral lung resections and cabg through 5 ports |
| url | http://dx.doi.org/10.1155/2018/9659232 |
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