Coronary artery bypass grafting after a bilateral lung volume reduction operation.

A 67-year-old man underwent coronary artery bypass grafting 31/2 months after a bilateral lung volume reduction operation for end-stage pulmonary emphysema. The principles of anesthetic management we have developed for use during volume reduction operations were applied with success in this individual and are described in detail. With the increasing application of this intervention as an alternative to lung transplantation, we anticipate further experience in the operative management of associated conditions after lung volume reduction operations.