title: Simultaneous surgery in patients with both cardiac and noncardiac diseases.
abstract: BACKGROUND
  To investigate the possibility and feasibility of simultaneous cardiac and noncardiac surgery.
  
  
  METHODS
  From August 2000 to March 2015, 64 patients suffering from cardiac and noncardiac diseases have been treated by simultaneous surgeries.
  
  
  RESULTS
  Two patients died after operations in hospital; thus, the hospital mortality rate was 3.1%. One patient with coronary heart disease, acute myocardial infarction, and a recurrence of bladder cancer accepted emergency simultaneous coronary artery bypass grafting (CABG), bladder cystectomy, and ureterostomy. He died of acute cerebral infarction complicated with multiple organ failure on the 153rd day after operation. The other patient with chronic constrictive pericarditis and right lung cancer underwent pericardial stripping and right lung lower lobectomy, which resulted in multiple organ failure, and the patient died on the tenth day postoperatively. The remaining 62 patients recovered and were discharged. The total operative morbidity was 17.2%: postoperative hemorrhage (n, % [1, 1.6%]), pulmonary infection and hypoxemia (2, 3.1%), hemorrhage of upper digestive tract (1, 1.6%), incisional infection (3, 4.7%), subphrenic abscess (1, 1.6%), and postoperative acute renal failure and hemofiltration (3, 4.7%). Of the 62 patients discharged, 61 patients were followed up. Eleven patients died with 10 months to 10 years during the follow-up. The mean survival time is 116.2±12.4 months. The cumulative survival rate is 50.8%.
  
  
  CONCLUSIONS
  Simultaneous surgeries in patients suffering from both cardiac and noncardiac benign or malignant diseases are safe and possible with satisfactory short-term and long-term survival.
authors.affiliation: Department of Cardiac Surgery.
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Cardiac Surgery.
authors.forename: Feng
authors.initials: F
authors.lastname: Xiao
authors.affiliation: Department of Cardiac Surgery.
authors.forename: Jin
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Cardiac Surgery.
authors.forename: Bo
authors.initials: B
authors.lastname: Song
authors.affiliation: Department of Cardiac Surgery.
authors.forename: Xi-Hui
authors.initials: XH
authors.lastname: Li
authors.affiliation: Department of Thoracic Surgery.
authors.forename: Jian
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Urology Surgery.
authors.forename: Zhi-Song
authors.initials: ZS
authors.lastname: He
authors.affiliation: Department of General Surgery.
authors.forename: Huan
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, People's Republic of China.
authors.forename: Ling
authors.initials: L
authors.lastname: Yin
keywords: cardiac surgery; coronary artery bypass grafting (CABG); noncardiac surgery; simultaneous surgery; tumor resection