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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e21-e23
DOI: 10.1055/s-0040-1710321
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Combined Coronary Artery Bypass Grafting, Aortic, and Lung Carcinoma Surgery

Nora Goebel 
1   Department of Cardiovascular Surgery, Robert Bosch Hospital, Stuttgart, Germany
,
Ulrich F.W. Franke
1   Department of Cardiovascular Surgery, Robert Bosch Hospital, Stuttgart, Germany
› Author Affiliations
Further Information

Publication History

27 December 2019

14 March 2020

Publication Date:
22 May 2020 (online)

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Abstract

Background Patients presenting with several cardiothoracic conditions that need to be addressed surgically require individual decision making as evidence remains inconclusive and combined surgical procedures carry an elevated perioperative risk.

Case Description We present the case and management of a 73-year-old male with myocardial infarction due to three-vessel disease and left main stem stenosis, calcified aortic aneurysm, and right-sided non-small cell lung carcinoma.

Conclusion High-risk combined surgery should be indicated with scrutiny after individual consideration by an experienced heart team.

Keywords

combined surgery - aortic - coronary - thoracic oncology - clinical decision making
 

  • References

  • 1 Sousa-Uva M, Neumann FJ, Ahlsson A. , et al; ESC Scientific Document Group. 2018 ESC/EACTS guidelines on myocardial revascularization. Eur J Cardiothorac Surg 2019; 55 (01) 4-90
    CrossrefPubMedGoogle Scholar
  • 2 S3 Guideline Bronchial Carcinoma AWMF. (February 2018). Available at: https://www.awmf.org/uploads/tx_szleitlinien/020007OL_l_S3_Lungenkarzinom_2018-03.pdf . Accessed October 27, 2019
    PubMed
  • 3 Yamamoto S, Yoshimasu T, Nishimura Y. , et al. In vitro evaluation of the effect of cardiac surgery on cancer cell proliferation. Ann Thorac Cardiovasc Surg 2011; 17 (03) 260-266
    CrossrefPubMedGoogle Scholar
  • 4 Lorusso R, Vizzardi E, Johnson DM. , et al. Cardiac surgery in adult patients with remitted or active malignancies: a review of preoperative screening, surgical management and short- and long-term postoperative results. Eur J Cardiothorac Surg 2018; 54 (01) 10-18
    CrossrefPubMedGoogle Scholar
  • 5 Hosoba S, Hanaoka J, Suzuki T. , et al. Early to midterm results of cardiac surgery with concomitant pulmonary resection. Ann Thorac Cardiovasc Surg 2012; 18 (01) 8-11
    CrossrefPubMedGoogle Scholar
  • 6 Prokakis C, Koletsis E, Apostolakis E. , et al. Combined heart surgery and lung tumor resection. Med Sci Monit 2008; 14 (03) CS17-CS21
    PubMedGoogle Scholar
  • 7 Vojácek J, Hlubocký J, Burkert J. , et al. Simultaneous cardiac and thoracic operations [in German]. Zentralbl Chir 2006; 131 (03) 200-205
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Tourmousoglou CE, Apostolakis E, Dougenis D. Simultaneous occurrence of coronary artery disease and lung cancer: what is the best surgical treatment strategy?. Interact Cardiovasc Thorac Surg 2014; 19 (04) 673-681
    CrossrefPubMedGoogle Scholar