Combined Off-Pump Coronary Artery Bypass Grafting and Lung Resection in Patients with Lung Cancer Accompanied by Coronary Artery Disease

Yeginsu, Ali; Vayvada, Mustafa; Karademir, Burçin Çayhan; Erkılınç, Atakan; Taşçı, Ahmet Erdal; Büyükbayrak, Fuat; Gürcü, Emre; Kutlu, Cemal Asım

doi:10.21470/1678-9741-2018-0126

Cited by 9 publications

(22 citation statements)

References 21 publications

(41 reference statements)

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“…During February 2018, media reports also indicated that a sudden stratospheric warming (SSW) event also occurred (Dukes, 2018;Yeginsu, 2018). During such an event, the Northern Hemisphere upper stratosphere undergoes a rapid increase in temperature as well as a collapse of the polar vortex leading to easterly flow that descends to the surface over an~2-week period (Baldwin & Dunkerton, 2001).…”

Section: Introductionmentioning

confidence: 99%

What Caused the Remarkable February 2018 North Greenland Polynya?

Moore

Schweiger

Zhang

et al. 2018

Geophysical Research Letters

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During late February and early March 2018, an unusual polynya was observed off the north coast of Greenland. This period was also notable for the occurrence of a sudden stratospheric warming. Here we use satellite and in situ data, a reanalysis and an ice‐ocean model to document the evolution of the polynya and its synoptic forcing. We show that its magnitude was unprecedented and that it was associated with the transient response to the sudden stratospheric warming leading to anomalous warm southerly flow in north Greenland. Indeed, regional wind speeds and temperatures were the highest during February going back to the 1960s. There is evidence that the thinning sea ice has increased its wind‐driven mobility. However, we show that the polynya would have developed under thicker ice conditions representative of the late 1970s and that even with the predicted trend toward thinner sea ice, it will only open during enhanced southerly flow.

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Section: Introductionmentioning

confidence: 99%

What Caused the Remarkable February 2018 North Greenland Polynya?

Moore

Schweiger

Zhang

et al. 2018

Geophysical Research Letters

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“…1. A total of 29 eligible studies were nally included in the present metaanalysis (3,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). These studies were carried out in the following geographical regions: ve in USA (8,19,20,32,35), four in China (3,11,25,26), four in Netherlands (7,13,30,33), three in Italy (14,18,29), two in Czech Republic (12,24), two in Japan (10,16), two in Turkey (9, 15), one in Australia (34), one in Belgium (6),...…”

Section: Study Searches and Characteristicsmentioning

confidence: 99%

“…In the subgroups classi ed by heart surgery procedures, 10 studies (3,9,11,14,15,18,26,28,30,34) contained 123 patients who received combined coronary artery bypass grafting (CABG) surgery and lung tumor resection, while the other 19 studies (5-8, 10, 12, 13, 16, 17, 19, 20, 24, 25, 27, 29, 31-33, 35) enrolled both CABG surgery and other types of heart surgery procedures. Because CABG surgery and other types of heart surgery procedures were analyzed together in the 19 studies (5-8, 10, 12, 13, 16, 17, 19, 20, 24, 25, 27, 29, 31-33, 35), further assessment of heart surgery procedures other than CABG was not done.…”

Section: Subgroup Analysismentioning

confidence: 99%

“…Because CABG surgery and other types of heart surgery procedures were analyzed together in the 19 studies (5-8, 10, 12, 13, 16, 17, 19, 20, 24, 25, 27, 29, 31-33, 35), further assessment of heart surgery procedures other than CABG was not done. So, we quantitatively pooled the data of 123 CABG cases from the 10 studies (3,9,11,14,15,18,26,28,30,34). The pooled proportion of operative mortality of patients who received combined CABG surgery and lung tumor resection was 0.00 (95% CI: 0.00, 0.01) using both xed-effect and random-effect models.…”

Section: Subgroup Analysismentioning

confidence: 99%

“…Treatment options include either simultaneous or staged surgical procedures (4)(5)(6)(7)(8). Without postponing the treatment of either heart or lung diseases, simultaneous surgery can solve heart and lung lesions at the same time, thus avoiding the second operation (3,(9)(10)(11)(12). But, concern exists regarding the potentially increased mortality and complication rate of simultaneous surgery and the adequacy of lung exposure during heart surgery (8,(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

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Perioperative outcomes of combined heart surgery and lung tumor resection: A systematic review and meta-analysis

Cheng

Jiang

et al. 2020

Preprint

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Objective: The coexistence of concomitant lesions of the heart and lungs needed surgical intervention is increasing. Simultaneous cardiac surgery with pulmonary resection can solve the lesions at the same time, thus avoiding the second operation. However, concern exists regarding the potentially increased mortality and complication rate of simultaneous surgery and the adequacy of lung exposure during heart surgery. Therefore, we performed a meta-analysis to evaluate the perioperative mortality and complication rate of combined heart surgery and lung tumor resection.Methods: A comprehensive literature search was performed in July 2020. PubMed, Embase and Web of Science databases were searched to collect studies reported the perioperative outcomes of combined heart surgery and lung tumor resection. Two reviewers independently screened literatures, extracted data and assessed the risk of bias of included studies. Pooled proportion and its 95% confidence intervals (95% CI) was performed by R version 3.6.1 using the meta package.Results: A total of 536 patients from 29 studies were included in this analysis. Overall, the results of this meta-analysis showed that the pooled proportion of operative mortality was 0.01 (95% CI: 0.00, 0.03) and the pooled proportion of postoperative complications was 0.40 (95% CI: 0.24, 0.57) for patients underwent combined cardiothoracic surgery. Subgroup analysis by lung pathology revealed that, for lung cancer patients, the pooled proportion of anatomical lung resection was 0.99 (95% CI: 0.95, 1.00), and the pooled proportion of systematic lymph node dissection or sampling was 1.00 (95% CI: 1.00, 1.00). Subgroup analysis by heart surgery procedures found that the pooled proportion of postoperative complications of coronary artery bypass grafting (CABG) patients using off-pump method was 0.17 (95% CI: 0.01, 0.43), while the pooled proportion of on-pump method was 0.61 (95% CI: 0.38, 0.82).Conclusion: This study presented that combined heart surgery and lung tumor resection had a low mortality rate and an acceptable complication rate. Subgroup analysis revealed most lung cancer patients underwent uncompromised anatomical resection and mediastinal lymph node sampling or dissection during combined cardiothoracic surgery, and showed off-pump CABG could potentially reduce the complication rate compared with on-pump CABG. While further researches are still needed.

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Simultaneous Minimally Invasive Coronary Artery Bypass Grafting and Lung Resection

Lianyong,

Pengkai,

Xuefeng

et al. 2023

Thorac Cardiovasc Surg

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Background: The best surgical treatment strategy for coexisting coronary artery disease and lung cancer remains controversial. This study analyzed the safety and efficacy of a simultaneous minimally invasive procedure for patients with coronary artery disease and lung cancer. Methods: Patients who underwent simultaneous minimally invasive off-pump coronary artery bypass grafting and lung resection from January 2016 to December 2021 were retrospectively analyzed. The procedure was performed in the fourth intercostal space through a small left anterolateral mini-thoracotomy. Harvesting of the left internal thoracic artery (LIMA) and sewing of the anastomoses were performed under direct vision. Lung resections were performed with or without the assistance of a thoracoscope. Results: Sixteen patients were included with a mean age of 67.13±10.61 years. Procedural success occurred in all patients with a mean operative time of 366.88±94.48 min. All patients received at least one coronary artery bypass LIMA graft. Pneumonectomy, lobectomy, segment resection, and wedge resection were performed in 1 (6.25%), 8 (50%), 2 (12.5%) and 5 (31.25%) patients, respectively. There were no perioperative deaths or new myocardial infarctions. Complications included 1 case of postoperative bleeding, 2 lung infections, 2 cases of atelectasis, 1 case of pleural effusion and 1 case of cardiac arrhythmia. All the patients were followed up for 1-57 months, cancer recurrence occurred in 2 patients, and one patient died. The remaining patients showed no evidence of tumor recurrence or myocardial infarction. Conclusions: Simultaneous minimally invasive procedure is safe and effective for select patients with coronary artery disease and lung cancer.

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Combined Off-Pump Coronary Artery Bypass Grafting and Lung Resection in Patients with Lung Cancer Accompanied by Coronary Artery Disease

Cited by 9 publications

References 21 publications

What Caused the Remarkable February 2018 North Greenland Polynya?

What Caused the Remarkable February 2018 North Greenland Polynya?

Perioperative outcomes of combined heart surgery and lung tumor resection: A systematic review and meta-analysis

Simultaneous Minimally Invasive Coronary Artery Bypass Grafting and Lung Resection

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