Concomitant Coronary Bypass Grafting and Curative Surgery for Cancer

Overview

Journal Surg Today

Specialty General Surgery

Date 1995 Jan 1

PMID 7772915

Citations 10

Authors

T Takahashi

S Nakano

Y Shimazaki

M Kaneko

K Nakahara

M Miyata

W Kamiike

H Matsuda

Affiliations

Soon will be listed here.

Abstract

The surgical management of patients with concomitant critical coronary artery disease (CAD) and surgically resectable cancer is controversial. We evaluated 19 patients who underwent concomitant coronary artery bypass grafting (CABG) and curative operation for cancer of the stomach in 9 patients, the colon in 4, the lung in 4, and the breast in 2. Each cancer operation was performed under stable hemodynamics without any serious bleeding tendency, immediately after CABG with an average of 2.5 +/- 0.8 grafts. There were no operative deaths and no incidences of perioperative myocardial infarction. Postoperative complications developed in three of the patients with lung cancer: respiratory dysfunction caused by phrenic nerve paralysis in two and mediastinitis in one. During the mean follow-up period of 33 +/- 23 months, 5 patients died of recurrent cancer or non-cardiac disease; however, all 19 patients remained free from any postoperative cardiac events and their quality of life apparently improved. This experience suggests that such simultaneous correction would be safe and beneficial in carefully selected patients who have surgically correctable CAD and potentially curable cancer.

Citing Articles

Simultaneous surgical management of malignancy and coronary heart disease.

Nandy K, Gangadhara B, Reddy S, Chakravarthy M, Jawali V, Thimmaiah S Indian J Thorac Cardiovasc Surg. 2024; 40(4):433-439.

PMID: 38919194 PMC: 11194229. DOI: 10.1007/s12055-023-01682-6.

Treatment of simultaneously discovered lung cancer and cardiovascular disease: a 20-year single-institution experience.

Kanzaki R, Kimura T, Kawamura T, Funaki S, Shintani Y, Minami M Surg Today. 2016; 47(6):726-732.

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Management and postoperative outcome in primary lung cancer and heart disease co-morbidity: a systematic review and meta-analysis.

Bablekos G, Analitis A, Michaelides S, Charalabopoulos K, Tzonou A Ann Transl Med. 2016; 4(11):213.

PMID: 27386487 PMC: 4916362. DOI: 10.21037/atm.2016.06.02.

Simultaneous radical gastrectomy and coronary artery bypass grafting: a case report.

Shaikh I, Dedhia B, Sangle M, Maru N, Mathur S Indian J Surg. 2015; 77(Suppl 1):159-61.

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Simultaneous operation for cardiac disease and gastrointestinal malignancy.

Komokata T, Fukueda M, Kaieda M, Ueno T, Iguro Y, Imoto Y World J Gastrointest Surg. 2014; 6(8):146-50.

PMID: 25161762 PMC: 4143969. DOI: 10.4240/wjgs.v6.i8.146.

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