Simultaneous off-pump coronary artery bypass graft and nephrectomy.
We report the one-stage surgical management of a 68-year-old patient with renal cell carcinoma and serious hematuria combined with coronary artery disease and unstable angina. After the accomplishment of coronary revascularization without cardiopulmonary bypass, we proceeded to nephrectomy and resection of the renal tumor at the same time. The patient's postoperative course was uneventful, and at 17 months of follow-up, the patient showed no signs of recurrence. To the best of our knowledge, such a case has never been reported before in the literature.
Dedeilias
Panagiotis
P
1st Cardiac Surgery Department, Evangelismos General Hospital, Athens, Greece.
Roussakis
Antonios
A
Koletsis
Efstratios N
EN
Kouerinis
Ilias
I
Balaka
Christina
C
Apostolakis
Efstratios
E
Malovrouvas
Dimitrios
D
D000368:Aged; D000789:Angina, Unstable / Q000209:etiology / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D009392:Nephrectomy; D013997:Time Factors; D016896:Treatment Outcome