Angioplasty-Bypass Surgery Combination Therapy

Okayama, Hideki; Sumimoto, Takumi; Kawada, Hiroyuki; Matsuda, Sachi; Kawasaki, Shohei; Takagaki, Yusaku

doi:10.1253/jcj.63.636

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2010

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“…As a supreme tool the off pump technique of coronary artery bypass grafting (OPCAB), facilitated the one stage cardiac revascularization and colectomy to be done safely at the same time. However, the beating heart coronary revascularization without extracorporeal circulation (OPCAB) and colectomy simultaneously, is proposed [25]. The unknown but presumably reduced life expectancy of patients with malignant neoplasms may dissuade surgeons from performing necessary coronary and valvular heart operations.…”

Section: Discussionmentioning

confidence: 99%

Simultaneously performed off-pump coronary artery bypass grafting and colectomy: a case report

et al. 2010

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This is written so as to report the case of a 71-year-old male with a diagnosis of sigmoid adenocarcinoma accompanied by severe coronary artery disease and unstable angina, which was subject to simultaneous surgical treatment. The patient initially underwent an off-pump coronary artery revascularization in order to avoid the complications of cardiopulmonary bypass, providing the opportunity of a colectomy at the same time with the use of safe surgical means. Our case suggests that performing an off-pump bypass procedure prior to cancer surgery can be an appropriate course of action in carefully selected cases.

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Section: Discussionmentioning

confidence: 99%