Simultaneous off-pump coronary revascularization with pulmonary resection or vascular surgery.
Patients who require coronary artery bypass grafting and who also have vascular disease or lung malignancy constitute a high-risk group, and their management remains controversial. Combining off-pump coronary surgery (OPCAB) with peripheral artery revascularization or lung resection is an attractive proposition, as it avoids the risks associated with cardiopulmonary bypass. This paper presents the results of 26 such combined procedures consisting of simultaneous OPCAB and peripheral revascularization or lung resection, between April 2001 and March 2003. Twenty underwent concomitant carotid endarterectomy and OPCAB, four underwent aortobifemoral bypass and OPCAB, and two underwent pneumonectomy and OPCAB. There was no in-hospital mortality. Prolonged ventilatory support was necessary in one patient who had a lung resection. The median postoperative length of stay in the Intensive Care Unit was 1.3 days (range 1 to 6) and the median length of hospital stay was 5.7 days (range 4 to 16 days). Off-pump coronary surgery clearly has a place for patients with peripheral vascular disease or pulmonary malignancy who additionally require myocardial revascularization.
Köksal
Cengiz
C
Sureyyapasa Thoracic and Cardiovascular Disease Hospital, Cardiovascular Surgery Clinic, Maltepe, Istanbul-TURKEY. cengizkoksal@hotmail.com
Sarikaya
Sabit
S
Ozcan
Vural
V
Zengin
Mustafa
M
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery; D047549:Coronary Artery Bypass, Off-Pump; D016894:Endarterectomy, Carotid; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D014656:Vascular Surgical Procedures