Combined lung volume reduction and mitral valve reconstruction was per
formed in a 66-year-old mall with end-stage emphysema and severe mitra
l regurgitation. Quality of life, pulmonary function, 6-minute walk, e
chocardiographic degree of mitral regurgitation, and New York Heart As
sociation heart failure classification all improved substantially A lu
ng volume reduction operation can safely be combined with complex card
iac operations for patients with disabling dyspnea of a multifactorial
nature. (Ann Thorac Surg 1998;66:1414-6) (C) 1998 by The Society of T
horacic Surgeons.