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Aortic and mitral valve replacement following previous left pneumonectomy: a case report

Shaozi Fu, Haitao Wang

Performing double valve replacement in a patient with previous pneumonectomy was challenging. Here, we reported a double valve replacement, which is performed in a 60-year-old female with a history of left pneumonectomy via median sternotomy. Multiple cerebral infarctions were confirmed by cranial computed tomography after surgery with none sequela left, which was suspected causing by air embolism. We review literatures from PubMed and conclude that median sternotomy is still the most common surgical approach. Due to the adhesions induced by previous operation, intraoperative air excluding is important for cardiothoracic surgeons to avoid air embolism after surgery. Post-surgery pulmonary hypertension is also worth paying attention to. Long-term follow-up is necessary to assess the outcomes of surgery.