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(Chest. 2001;119:1941-1943.)
© 2001 American College of Chest Physicians

Lung Cancer Resection or Aortic Graft Replacement With Simultaneous Myocardial Revascularization Without Cardiopulmonary Bypass*

Amir Elami, MD; Amit Korach, MD and Ehud Rudis, MD

* From the Department of Cardiothoracic Surgery, Hadassah University Hospital, Jerusalem, Israel.

Correspondence to: Amir Elami, MD, Cardiothoracic Surgery, POB 12000, Jerusalem 91120, Israel; e-mail: eamir{at}md2.huji.ac.il

Background: The concomitant occurrence of lung cancer or other thoracic problems requiring surgical treatment in patients with significant coronary artery disease is uncommon.

Methods: Three patients underwent revascularization of the anterior descending artery, without cardiopulmonary bypass, with simultaneous pulmonary lobectomy (two patients) or replacement of an obstructed descending aortic graft (one patient).

Results: Postoperative ventilation time was < 3 h, and no morbidity related to the combined procedure occurred during midterm follow-up.

Conclusions: This one-stage approach allowed the immediate solution of two intrathoracic comorbidities, reducing expenses and suffering to the patients and minimizing the risk of bleeding or tumor dissemination secondary to extracorporeal circulation-induced coagulopathy and immunosuppression.

Key Words: aortic coarctation • cardiac surgery • cardiopulmonary bypass • lung cancer




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