Carcinoma of the esophagus can coexist with significant Coronary Artery Disease (CAD) in the elderly. A staged approach to the two problems, carrying out Coronary Artery Bypass Grafting (CABG) first followed by cancer resection at two anesthetic settings is a logical way of tackling the conditions. But it lengthens morbidity and increases economic burden. Simultaneous tackling of these two problems, i.e. operation at the same anesthetic settings can offer a better outcome albeit at the cost of a longer operative time. We present such a patient who underwent simultaneous Off Pump Coronary Artery Bypass Grafting (OPCAB) and esophago-gastric resection successfully through a posterolateral thoracotomy and upper midline laparotomy. (Ind J Thorac Cardiovasc Surg 2009; 25: 142-144)

We present this rare case of a 24 year old male who was knocked down by a slowly backing truck when the rear wheels climbed on to the right side of the abdomen and on hearing the shouts of people rolled forwards causing a partial run over injury.