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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2012 June;25(3):173-7
Experience of simultaneous coronary artery bypass grafting and lung lobectomy
Li W. 1, Lei W. 2, Li B. 1, Chen X. 1, Ma L. 1, Ni Y. 1
1 Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital, Medical School of Zhejiang University, Hangzhou, China;
2 Department of Thoracic Surgery, The First Hospital, Deqing City, China
Aim. To summarize the experience of surgical indications and treatment of coronary heart disease patients with lung disease who need coronary artery bypass grafting (CABG) and lung (lobe) resection at the same time.
Methods. In the period 2008 to 2010, 3 patients with lung tumor accepted non-cardiac arrest simultaneous CABG and lung (lobe) resection. Lung cancer TNM stage was IB in 1 case, IIA in 1, and IIB in 1. Coronary angiography showed 2 patients had disease of all 3 coronary arteries; the other had left main coronary artery and anterior descending artery disease. Internal mammary artery and left anterior descending artery anastomosis and saphenous vein bypass graft surgery were performed. Meanwhile, all 3 cases underwent lobectomy plus lymph node dissection. We analyzed indicators for preoperative evaluation of cardiopulmonary function and the basis of surgical indications.
Results All 3 patients underwent surgery smoothly, the perioperative period was uneventful, cardiopulmonary function recovered well, and all 3 patients were cured. Pathological diagnosis of pulmonary disease were adenocarcinoma in 1 patient and squamous cell carcinoma in 2; the TNM stage was IB in 1 case, IIA in 1, and IIB in 1.
Conclusion. Non-cardiac arrest simultaneous CABG and lung (lobe) resection surgery should be based strictly on surgical indications, and sound perioperative management principles. Simultaneous surgical treatment is safe and feasible.