title: Simultaneous nephrectomy and coronary artery bypass grafting through extended sternotomy.
abstract: BACKGROUND
  The advances in surgical techniques, resuscitation and anesthesiology support over the last years have allowed simultaneous thoracic and abdominal operations to be made for cancer and concomitant severe heart vessel disease relieving the patient from several diseases simultaneously and achieving long lasting remission or cure.
  
  
  METHODS
  A simultaneous nephrectomy and coronary artery bypass grafting procedure through extended sternotomy is reported. A 63-year-old man with severe coronary artery disease was found to have renal carcinoma.
  
  
  METHODS
  Postoperative pathological investigation of the tumor revealed the presence of renal cell carcinoma pT3a N0 M0, G2. Coronarography revealed advanced three-vessel coronary artery disease.
  
  
  METHODS
  We successfully performed a simultaneous curative surgery for renal carcinoma and coronary artery bypass graft surgery under cardiopulmonary bypass using a novel technique of extended sternotomy. Simultaneous surgery thus appears to be a beneficial and safe approach for the treatment of coronary artery disease and resectable renal cancer in carefully selected patients.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Medical Academy, Lithuanian University of Health Sciences, Eiveniu str, 2, 50009, Kaunas, Lithuania.
authors.forename: Algimantas
authors.initials: A
authors.lastname: Budrikis
authors.forename: Mindaugas
authors.initials: M
authors.lastname: Jievaltas
authors.forename: Sami
authors.initials: S
authors.lastname: Al Assaad
authors.forename: Sarunas
authors.initials: S
authors.lastname: Kinduris
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*