title: [Perioperative management of primary lung cancer patients with cardiovascular comorbidities].
abstract: The number of patients with cardiovascular comorbidities is increasing due to aged society. We evaluated perioperative management of primary lung cancer patients with cardiovascular comorbidities. Between 2010 and 2013, 458 patients underwent lung cancer surgery at out hospital. 60(13%)patients had cardiovascular comorbidities (excluding hypertension and arrhythmia). Forty three(72%) patients were angina pectoris and myocardial infarction, and 7 (12%)were valve disease. In patients with cardiovascular comorbidities, high age, renal dysfunction, low % diffusing capacity for carbon monoxide and limited lymph node dissection were significantly seen. There was one patient with no symptoms of angina with the calcification of coronary artery detected by chest computed tomography(CT)before surgery. Percutaneous coronary artery intervention followed elective lung surgery was successfully performed. Short-term surgical results of patients with cardiovascular comorbidities were acceptable compared to those without.
authors.affiliation: Department of Surgical Oncology, Nagasaki University Graduate School of Medicine, Nagasaki, Japan.
authors.forename: Takuro
authors.initials: T
authors.lastname: Miyazaki
authors.forename: Naoya
authors.initials: N
authors.lastname: Yamasaki
authors.forename: Tomoshi
authors.initials: T
authors.lastname: Tsuchiya
authors.forename: Keitaro
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000008:administration & dosage*; D001145:Arrhythmias, Cardiac / Q000188:drug therapy; D002114:Calcinosis; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000473:pathology / Q000628:therapy*; D015897:Comorbidity; D003331:Coronary Vessels / Q000473:pathology; D005260:Female; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy; D019990:Perioperative Care; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D006493:Heparin