Pneumonectomy in the seventh decade in a patient with a congenital uncorrected ventricular septal defect

We describe the successful treatment of a patient in his seventh decade with a congenital uncorrected ventricular septal defect (VSD), moderate aortic stenosis and carcinoma of the lung, who underwent a successful pneumonectomy. Preoperative and intraoperative assessment of pulmonary artery pressure are essential to manage this combination of cardiac and thoracic pathologies. After pneumonectomy, echocardiography can be difficult. Magnetic resonance imaging (MRI) is useful to assess intra-cardiac defects in this situation.