Off-Pump Coronary Artery Bypass Grafting and Left Lower Lobectomy Simultaneously Performed Via a Left Postero-Lateral Thoracotomy

Abstract

A 75-year-old male with angina and a squamous carcinoma of the left lower lobe underwent a single-stage procedure for the treatment of these lesions. Through a left postero-lateral thoracotomy, a left lower lobectomy was performed with systematic nodal dissection including the subcarinal and paraaortic lymph nodes. A reversed saphenous vein segment was used to bypass the left anterior descending artery from the ascending aorta without cardiopulmonary bypass.

Coronary artery bypass grafting with concomitant resection for carcinoma of lung

“…Badmanaban and colleagues[15] reported a 75-year-old patient with agina and a squamous carcinoma of the left lower lobe who underwent a single-stage procedure for the treatment of these lesions by a left posterolateral thoracotomy. Caimmi and Di Biasi[14] and Ahmed et al[12] considered that combined left lobectomy and off-pump CABG through left anterior thoracotomy was safe and effective.…”

Surgical Management of Coronary Artery Disease Associated with Malignancy

“…To overcome this problem, a posterolateral thoracotomy was used 60,61 or a T‐incision which includes median sternotomy and anterolateral extension through the fifth intercostal space; 62 both approaches proved to be effective in dealing with lung resection, lymph nodes excision, as well as myocardial revascularization.…”