Coronary artery bypass grafting with concomitant resection for carcinoma of lung

Zhang, Yangyang; Wu, Yanhu; Yuan, Biao; Liu, Xiang; Zhao, Sen; Li, Zhi; Xia, Yu

doi:10.1016/s1674-8301(10)60013-9

Cited by 3 publications

(4 citation statements)

References 19 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The dissection of paraesophageal lymph nodes on both sides after sternotomy is more demanding than from standard thoracotomy access. 11 , 15 , 16 , 24 Left lower lobectomy is the most difficult lung resection to perform through a median sternotomy. Retraction of heart during this procedure may lead to hemodynamic compromise and arrhythmias.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Simultaneous surgery in patients with both cardiac and noncardiac diseases

Yang¹,

Xiao²,

Wang³

et al. 2016

PPA

View full text Add to dashboard Cite

BackgroundTo investigate the possibility and feasibility of simultaneous cardiac and noncardiac surgery.MethodsFrom August 2000 to March 2015, 64 patients suffering from cardiac and noncardiac diseases have been treated by simultaneous surgeries.ResultsTwo patients died after operations in hospital; thus, the hospital mortality rate was 3.1%. One patient with coronary heart disease, acute myocardial infarction, and a recurrence of bladder cancer accepted emergency simultaneous coronary artery bypass grafting (CABG), bladder cystectomy, and ureterostomy. He died of acute cerebral infarction complicated with multiple organ failure on the 153rd day after operation. The other patient with chronic constrictive pericarditis and right lung cancer underwent pericardial stripping and right lung lower lobectomy, which resulted in multiple organ failure, and the patient died on the tenth day postoperatively. The remaining 62 patients recovered and were discharged. The total operative morbidity was 17.2%: postoperative hemorrhage (n, % [1, 1.6%]), pulmonary infection and hypoxemia (2, 3.1%), hemorrhage of upper digestive tract (1, 1.6%), incisional infection (3, 4.7%), subphrenic abscess (1, 1.6%), and postoperative acute renal failure and hemofiltration (3, 4.7%). Of the 62 patients discharged, 61 patients were followed up. Eleven patients died with 10 months to 10 years during the follow-up. The mean survival time is 116.2±12.4 months. The cumulative survival rate is 50.8%.ConclusionSimultaneous surgeries in patients suffering from both cardiac and noncardiac benign or malignant diseases are safe and possible with satisfactory short-term and long-term survival.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Alternatively, surgeons can have a separate thoracotomy incision after cardiac surgery though median sternotomy. 16 , 24 Finally, the size and localization of the tumor determine the planning of a combined cardiac and thoracic incision.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous surgery in patients with both cardiac and noncardiac diseases

Yang¹,

Xiao²,

Wang³

et al. 2016

PPA

View full text Add to dashboard Cite

show abstract

“…Simultánne operácie znamenajú súčasnú chirurgickú intervenciu na dvoch orgánoch pre dve rôzne ochorenia. V niektorých prípadoch je nutná kardiochirurgická inter-zadného mediastína cestou torakotómie i lepšia dosiahnuteľnosť ľavej dolnej lobektómie alebo ľavostrannej pneumektómie cestou tohto prístupu, čo metódu čiastočne zvýhodňuje [8]. Pri zvolení prístupu sternotómiou je revízia zadného mediastína často nemožná [1,9].…”

Section: Diskusiaunclassified

Surgical management of a patient with combined heart pathologies and lung cancer. A simultaneous coronary artery bypass surgery, aortic valve replacement, tricuspid valve repair and pulmonary resection

et al. 2014

View full text Add to dashboard Cite

Súčasný výskyt ochorenia koronárnych artérii a ochorenia chlopní srdca je významným rizikovým faktorom u pacientov podstupujúcich resekčný výkon na pľúcach. Možnosť vykonať konkomitantnú (simultánnu) operáciu srdca aj pľúc je pre týchto pacientov vhodnou možnosťou. V prezentovanom prípade bola vykonaná intervencia na dvoch srdcových chlopniach, vykonaný bol trojnásobný aortokoronárny bypass a resekcia pľúc. Podobný chirurgický výkon doposiaľ publikovaný nebol. Kazuistika prezentuje 68-ročnú pacientku s trojcievnym koronárnym postihnutím, stredne závažnou stenózou aortálnej chlopne, závažnou insufi cienciou trikuspidálnej chlopne, tumorom ľavého horného laloka pľúc. Pacientka podstúpila kombinovaný kardiochirurgický a torakochirurgický výkon, náhradu aortálnej chlopne, plastiku trikuspidálnej chlopne, trojnásobný aortokoronárny bypass a ľavú hornú lobektómiu pľúc. Na ôsmy pooperačný deň bola pacientka v stabilnom stave prepustená a v čase publikovania práce je v ambulantnom sledovaní. Simultánna operácia srdca a resekcia pľúc pre malignitu sa stáva štandardom liečebného postupu u pacientov, ktorí vyžadujú oba chirurgické zákroky. Najčastejším chirurgickým prístupom je stredná sternotómia, ktorá ponúka najlepší prístup pre kardiochirurgickú časť operácie a prijateľný prístup pre resekciu pľúc. Výnimku predstavuje lokalizácia tumoru v ľavom dolnom laloku pľúc, kedy je nutné použiť prístup torakotómiou, alebo častejšie vykonávať resekčný výkon na pľúcach počas mimotelového obehu. Ak použitie mimotelového obehu počas resekcie pľúc nie je nutné, väčšina autorov doporučuje prevedenie resekčného výkonu na pľúcach pred napojením pacienta na mimotelový obeh.

show abstract

“…With the development of coronary artery surgery, especially off-pump coronary artery bypass grafting (OPCABG), many surgeons prefer to perform cardiac surgery and pulmonary resection simultaneously. Avoidance of extracorporeal circulation may decrease the incidence of postoperative complications and saves the patient from a second procedure, which includes another general anesthetic and incision [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

T-Bar Utilization for Concomitant Coronary Artery Bypass Graft Operation and Left Upper Lobectomy

Mitropoulos

Kanakis

Apostolou

et al. 2016

Case Reports in Surgery

View full text Add to dashboard Cite

Management in patients with coexisting coronary artery disease and lung carcinoma is usually a two-stage operation, with the cardiac surgery procedure followed by pulmonary resection at a later time. Delayed tumor resection on the other hand may be detrimental. Off-pump coronary artery bypass grafting could facilitate concomitant lung resection at one stage via median sternotomy. T-bar retractor may be a useful tool in the surgical approach of this combined operation.

show abstract

Coronary artery bypass grafting with concomitant resection for carcinoma of lung

Cited by 3 publications

References 19 publications

Simultaneous surgery in patients with both cardiac and noncardiac diseases

Simultaneous surgery in patients with both cardiac and noncardiac diseases

Surgical management of a patient with combined heart pathologies and lung cancer. A simultaneous coronary artery bypass surgery, aortic valve replacement, tricuspid valve repair and pulmonary resection

T-Bar Utilization for Concomitant Coronary Artery Bypass Graft Operation and Left Upper Lobectomy

Contact Info

Product

Resources

About