title: [Simultaneous off-pump coronary artery bypass surgery and pulmonary resection].
abstract: OBJECTIVE
  To summarize the experience of combined off-pump coronary artery bypass grafting (OPCAB) and pulmonary resection.
  
  
  METHODS
  Seven patients with unstable angina or a history of myocardial infarction and pulmonary disease underwent combined OPCAB and pulmonary resection. All of them underwent coronary angiography, and neither coronary angioplasty nor stenting was feasible. OPCAB preceded the lung resections. The preferred approach to the heart and lung was by sternotomy. Left upper lobectomy was performed in 2 patients, right upper lobectomy was performed in 1 patient, right lower lobectomy was performed in 1 patient, right upper and middle bilobectomy was performed in 1 patient, left lung volume reduction surgery (LVRS) was performed in 1 patient and bilateral LVRS was performed in 1 patient.
  
  
  RESULTS
  There were no hospital mortality in this group of patients, however there were one late death. Sternal dehiscence occurred in 1 patient which was observed with a need for re-sternotomy and atrial fibrillation was observed in 1 patient. Five patients were diagnosed as malignant tumor by pathology test, and 2 patients were severe chronic obstructive pulmonary disease (COPD). Follow-up ranging from 2 months to 31 months was available for these patients. None of the patients showed evidence of myocardial ischemia after surgery. In one patient, who underwent right upper and middle bilobectomy, local recurrence was found at 19 months after surgery.
  
  
  CONCLUSIONS
  OPCAB carried out simultaneously with lung resection is a safe and effective approach in patients diagnosed with concomitant coronary artery and pulmonary disease. OPCAB may decrease the incidence of postoperative complications.
authors.affiliation: Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. qxf027@163.com
authors.forename: Xue-feng
authors.initials: XF
authors.lastname: Qiu
authors.forename: Nian-guo
authors.initials: NG
authors.lastname: Dong
authors.forename: Tie-cheng
authors.initials: TC
authors.lastname: Pan
authors.forename: Xiang
authors.initials: X
authors.lastname: Wei
authors.forename: Jia-wei
authors.initials: JW
authors.lastname: Shi
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000150:complications / Q000601:surgery; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D016896:Treatment Outcome