Mitral Valve Replacement 8 Years after Left Pneumonectomy

(Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Japan and Department of Cardiovascular Surgery, Hiroshima City Hospital*, Hiroshima, Japan)

Hideki Morita Hideo Yoshida* Toru Morimoto
Teiji Jinno Mamoru Tago Masataka Yamane
We report mitral valve replacement (MVR) in a patient who had undergone left pneumonectomy for thoracic empyema 8 years previously. A75-year-old man had heart failure due to mitral valve regurgitation and medication therapy was initiated. Although the heart had shifted to the right side, MVR was performed using a SJM valve with primary median sternotomy. The tracheal intubation tube was removed 17h after the operation, and the patient was discharged on the 43rd postoperative day. Careful preoperative assessment, preoperative control of heart failure, and careful attention to perioperative fluid management are important components of successful clinical management.
@Jpn. J. Cardiovasc. Surg. 33: 395-398 (2004)