title: [Acute coronary syndrome and cancer: which therapeutic option first?].
abstract: Cardiovascular disease and cancer are the leading causes of mortality worldwide. We report our experience in a cancer patient with acute coronary syndrome successfully treated by hybrid revascularization, i.e. off-pump coronary artery bypass grafting, followed by surgical removal of the tumor and percutaneous coronary intervention. The concomitant presence of cancer and acute coronary syndrome is not rare, ranging from 1.9% to 4.2%. Usually, the most life-threatening disease should be treated first, more frequently coronary artery disease. There are several therapeutic approaches to patients with cancer and coronary artery disease and cancer, including percutaneous coronary intervention, surgical treatment of cancer, or coronary artery bypass grafting. Each of these options should consider the severity of cardiac disease, the stage of malignancy and the clinical conditions of the patient.
authors.forename: Paolo
authors.initials: P
authors.lastname: Vicinelli
authors.forename: Alessandro
authors.initials: A
authors.lastname: Martinoni
authors.forename: Camillo
authors.initials: C
authors.lastname: Villani
authors.forename: Marco
authors.initials: M
authors.lastname: Zuccari
authors.forename: Sergio
authors.initials: S
authors.lastname: Morra
authors.forename: Germano
authors.initials: G
authors.lastname: Di Credico
authors.forename: Maurizio
authors.initials: M
authors.lastname: D'Urbano
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000368:Aged; D003082:Colectomy; D015179:Colorectal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods; D006801:Humans; D008297:Male; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency