Combined off-pump coronary surgery and right lung resections through midline sternotomy.
Concomitant severe coronary artery disease and lung malignancies are uncommon. Combining conventional coronary surgery with cardiopulmonary bypass with lung resection is still a controversial issue. Conversely, combining off-pump coronary surgery with right lung resections through a midline sternotomy can be an attractive approach. Off-pump coronary surgery avoids the risks of cardiopulmonary bypass, reduces systemic inflammatory response and does not affect the immune system. We report a series of three patients successfully operated using this approach.
Mariani
M A
MA
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
van Boven
W J
WJ
Duurkens
V A
VA
Ernst
S M
SM
van Swieten
H A
HA
D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D018570:Risk Assessment; D013249:Sternum / Q000601:surgery; D016896:Treatment Outcome