CORONARY-ARTERY BYPASS-GRAFTING AFTER A BILATERAL LUNG-VOLUME REDUCTION OPERATION

A 67-year-old man underwent coronary artery bypass grafting 3 1/2 mont hs after a bilateral lung volume reduction operation for end-stage pul monary emyhysema. The principles of anesthetic management we have deve loped for use during volume reduction operations were applied with suc cess in this individual and are described in detail. With the increasi ng application of this intervention as an alternative to lung transpla ntation, we anticipate further experience in the operative management of associated conditions after lung volume reduction operations. (C) 1 997 by The Society of Thoracic Surgeons.