Coronary artery bypass after single lung transplant: a case report
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Updated: Oct 31, 2026

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
Published on: October 11, 2024
C T Salerno1, B Harrison, M Hertz
1Department of Surgery, University of Minnesota, Minneapolis, USA.
Insights
Coronary artery bypass grafting (CABG) after lung transplantation is possible. This case study details successful CABG three years post-lung transplant, highlighting surgical risks for these patients.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pulmonary Medicine
Background:
- Chronic obstructive pulmonary disease (COPD) is a primary reason for lung transplants.
- Lung transplant recipients often have coronary artery disease risk factors.
- Previous lung transplantation was historically a contraindication for coronary artery bypass grafting (CABG).
Observation:
- This report details a case of successful CABG performed three years after a single lung transplantation.
- The patient had chronic obstructive pulmonary disease (COPD) and coronary artery disease risk factors.
Findings:
- Coronary artery bypass grafting (CABG) is feasible in lung transplant recipients.
- The study highlights the successful management of a patient requiring CABG post-lung transplant.
Implications:
- This case suggests that previous lung transplantation may not be an absolute contraindication for CABG.
- Further research is warranted to understand the specific risks and benefits of cardiac surgery in lung transplant patients.
- This finding could expand treatment options for lung transplant recipients with coronary artery disease.
Abstract:
Chronic obstructive pulmonary disease (COPD) is the most common indication for adult single lung transplantation. These patients commonly have one or more risk factors for coronary artery disease. Traditionally previous lung transplantation has been considered a contraindication to coronary artery bypass grafting (CABG). This report describes a case of CABG 3 yr after single lung transplantation and briefly discusses the risks of cardiac surgery in lung transplant patients.
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