Combined minimally invasive coronary bypass surgery and left pulmonary lobectomy.
Two patients underwent combined heart and lung surgery performed through a limited left anterior thoracotomy. Good exposure of the left pulmonary hilum and the left anterior descending artery was obtained, allowing left upper lobectomy combined with off-pump coronary bypass grafting. This approach avoids potential complications due to sternotomy, staged operations, and cardiopulmonary bypass. These cases show that a limited thoracotomy allows safe and effective combined lung and cardiac surgery in carefully selected patients.
Caimmi
Philippe-Primo
PP
Department of Cardiac Surgery, Ospedale Maggiore della Carita, Novara, Italy. philippeprimo.caimmi@tin.it
Di Biasi
Pietro
P
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump; D023921:Coronary Stenosis / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011013:Pneumonectomy; D016896:Treatment Outcome