title: Lung cancer resection or aortic graft replacement with simultaneous myocardial revascularization without cardiopulmonary bypass.
abstract: 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.
authors.affiliation: Department of Cardiothoracic Surgery, Hadassah University Hospital, Jerusalem, Israel. eamir@md2.huji.ac.il
authors.forename: A
authors.initials: A
authors.lastname: Elami
authors.forename: A
authors.initials: A
authors.lastname: Korach
authors.forename: E
authors.initials: E
authors.lastname: Rudis
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery; D001807:Blood Vessel Prosthesis; D002277:Carcinoma / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009204:Myocardial Revascularization; D011013:Pneumonectomy; D012086:Reoperation