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Eur J Cardiothorac Surg 2001;20:1042-1044
© 2001 Elsevier Science NL

Case report

Myocardial revascularization and bilateral lung transplantation without cardiopulmonary bypass

^a Clinics of Cardiovascular Surgery, University Hospital, 16 Rue Micheli-Ducrest, CH-1211 Geneva, Switzerland
^b Department of Anesthesiology, Pharmacology and Surgical Intensive Care, University Hospital, 16 Rue Micheli-Ducrest, CH-1211 Geneva, Switzerland
^c Unit of Thoracic Surgery, University Hospital, 16 Rue Micheli-Ducrest, CH-1211 Geneva, Switzerland

Received 22 May 2001; received in revised form 11 July 2001; accepted 14 July 2001.

Corresponding author. Tel.: +41-22-3827402; fax: +41-22-3727690
e-mail: marc-joseph.licker{at}hcuge.ch

Coronary artery disease is occasionally encountered in lung transplant recipients and is a risk factor for perioperative complications and poor survival. Besides combined heart–lung transplantation, various techniques of myocardial revascularization can be performed before, or at the time of lung transplantation. We report herein a patient with end-stage bronchoemphysema and two-vessel coronary disease who underwent ‘off-pump’ coronary artery bypass graft immediately followed by bilateral lung transplantation.

Key Words: Coronary artery disease • Emphysema • Lung transplantation

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