title: [Concomitant off-pump coronary artery bypass and left lower lobectomy for lung cancer;report of a case].
abstract: A 58-year-old man had an abnormal shadow in the left lower lobe on his computed tomography, and also had stenosis of the coronary arteries. Preoperative coronary angiography revealed severe stenosis of right coronary artery (RCA), left anterior descending artery (LAD), and left circumflex branch(LCx). The diagnosis of lung cancer was made by transbronchial lung biopsy. Initially, we scheduled to undergo surgery of both the heart and lung in 2stage operation. However, before surgery, the infection of cavity was caused by tumor growing, so we performed the surgery in 1stage operation. Off-pump coronary artery bypass and left lower lobectomy with lymph node dissection was concomitantly performed. The postoperative course was uneventful. He was discharged after confirming the patent bypass grafting on the 13th postoperative day. Histopathological diagnosis was squamous cell carcinoma without lymph node metastasis. Lung cancer and ischemic heart disease can be surgically treated simultaneously, benefitting selected patients.
authors: Department of Thoracic Surgery, Tsukuba Memorial Hospital, Tsukuba, Japan.
authors: Kenichi
authors: K
authors: Okamura
authors: Koichi
authors: K
authors: Kamiyama
authors: Masaki
authors: M
authors: Kimura
authors: Sei
authors: S
authors: Morizumi
authors: Mitsuhiro
authors: M
authors: Kawata
authors: Yoshihiro
authors: Y
authors: Suematsu
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*