IntroductionOptimal surgical approach for the treatment of resectable lung cancer
accompanied by coronary artery disease (CAD) remains a contentious issue. In
this study, we present our cases that were operated simultaneously for
concurrent lung cancer and CAD.MethodsSimultaneous off-pump coronary artery bypass surgery (OPCABG) and lung
resection were performed on 10 patients in our clinic due to lung cancer
accompanied by CAD. Demographic features of patients, operation data and
postoperative results were evaluated retrospectively.ResultsMean patient age was 63.3 years (range 55-74). All patients were male. Six
cases of squamous cell carcinoma, three of adenocarcinoma and one case of
large cell carcinoma were diagnosed. Six patients had single-vessel CAD and
4 had two-vessel CAD. Three patients underwent OPCABG at first and then lung
resection. The types of resections were one right pneumonectomy, three right
upper lobectomies, one right lower lobectomy, three left upper lobectomies,
and two left lower lobectomies. Reoperation was performed in one patient due
to hemorrhage. One patient developed intraoperative contralateral tension
pneumothorax. One patient died due to acute respiratory distress syndrome at
the early postoperative period.ConclusionSimultaneous surgery is a safe and reliable option in the treatment of
selected patients with concurrent CAD and operable lung cancer.
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