{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:04Z","timestamp":1756314604212,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,5,14]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>Postpneumonectomy changes, including ipsilateral diaphragmatic elevation and rib crowding, mediastinal shifting of the heart and reduction of respiratory functional reserve by 45%\u201355%, make cardiac surgery challenging in terms of access to the heart and great vessels. There is a paucity of literature on coronary artery bypass graft (CABG) surgery in patients with a history of pneumonectomy. We report a case of a male in his 70s with a history of left pneumonectomy who underwent a successful on-pump CABG surgery using the left internal mammary artery graft and great saphenous vein graft. The patient was extubated postoperatively and discharged in a stable condition. With no consensus available for optimal preoperative, intraoperative and postoperative management for these high-risk patients, our case report adds to the rare literature regarding successful on-pump CABG after pneumonectomy.<\/jats:p>","DOI":"10.1136\/bcr-2024-260815","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T20:05:23Z","timestamp":1716840323000},"page":"e260815","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Post-pneumonectomy coronary artery bypass graft surgery"],"prefix":"10.1136","volume":"17","author":[{"given":"Shirin","family":"Siddiqi","sequence":"first","affiliation":[{"name":"Surgery, Conemaugh Health System, Johnstown, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanpreet","family":"Sherwal","sequence":"additional","affiliation":[{"name":"Surgery, Conemaugh Health System, Johnstown, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"2025082709542038000_17.5.e260815.1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.4103\/aca.ACA_37_18","article-title":"Off-pump coronary bypass grafting in a post-pneumonectomy patient: challenges and management","volume":"22","author":"Kumar","year":"2019","journal-title":"Ann Card Anaesth"},{"key":"2025082709542038000_17.5.e260815.2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-2545"},{"key":"2025082709542038000_17.5.e260815.3","first-page":"470","article-title":"Coronary artery bypass grafting after pneumonectomy","volume":"35","author":"Zhao","year":"2008","journal-title":"Texas Hear Inst J"},{"key":"2025082709542038000_17.5.e260815.4","doi-asserted-by":"crossref","first-page":"336","DOI":"10.5830\/CVJA-2019-030","article-title":"Effects of cardiopulmonary bypass on pulmonary function in COPD patients undergoing beating heart coronary artery bypass surgery","volume":"30","author":"\u00c7etin","year":"2019","journal-title":"Cardiovasc J Afr"},{"key":"2025082709542038000_17.5.e260815.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0954-6111(97)90010-X"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260815","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:54:27Z","timestamp":1756313667000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260815"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":5,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,27]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bcr-2024-260815"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260815","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}