title: Staged off-pump coronary artery bypass grafting and radical nephrectomy in a patient with multivessel coronary artery disease and a renal tumour.
abstract: Coronary artery diseases and neoplastic disorders are the leading causes of morbidity and mortality in the elderly. Recently, controversial approaches have been raised about the treatment of cases with concomitant occurrence of coronary artery diseases and malignancies. The detrimental effects of cardiopulmonary bypass on neoplastic cells are always a challenge for such cases. We present a case of a large renal tumour associated with a recently symptomatic coronary artery disease which was successfully treated with staged off-pump coronary artery bypass grafting followed by radical nephrectomy. In such patients, off-pump revascularisation is favourable in order to decrease the risk of cancer spreading when compared to traditional on-pump cases. In our opinion, staged off-pump coronary arterial revascularisation followed by definitive surgical treatment for the malignancy is a safe and effective treatment modality in patients with coronary artery disease and oncological diseases.
authors: Department of Cardiovascular Surgery, Memorial Hospital, Diyarbakır, Turkey.
authors: Erdem
authors: E
authors: Cetin
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: Arda
authors: A
authors: Ozyuksel
authors: Department of Urology, Memorial Hospital, Diyarbakır, Turkey.
authors: Ferruh
authors: F
authors: Akay
mesh_terms: D002292:Carcinoma, Renal Cell / Q000150:complications / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D054059:Coronary Occlusion / Q000150:complications* / Q000601:surgery; D021501:Flank Pain / Q000209:etiology; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D014057:Tomography, X-Ray Computed