Concomitant cardiac surgery and pulmonary resection

Acta chirurgica Belgica
K CathenisF Muysoms

Abstract

Surgical management of concomitant pulmonary and cardiac disease remains controversial. There is no consensus on the use of a one- or two-staged procedure, the timing of heparinization and the utilisation of cardio-pulmonary bypass. We performed a retrospective review of 27 patients who underwent pulmonary and cardiac surgery, from 2000 to 2008, in two institutions. We focused on early postoperative morbidity and mortality. 24 men and 3 women, with a mean age of 68 years, were treated. Cardiac procedures consisted of coronary artery bypass grafting (n = 22), heart valve surgery (n = 3) or a combination of both (n = 2). Pulmonary resection included segmental resection (n = 1), lobectomy (n = 21), bilobectomy (n = 2) and pneumonectomy (n = 3). Histology of the pulmonary lesion was squamous cell carcinoma in 14 patients (52%), adenocarcinoma in 10 (37%), large cell neuroendocrine tumour in 1 (3%) and typical carcinoid in 1 (3%). The stage of the pulmonary malignancy was IA in 8 patients (31%), stage IB in 11 (42%), stage IIB in 5 (19%) and stage IIIB in 2 (8%). A benign lesion was found in 1 patient (3%). There was no in-hospital mortality. Postoperative complications occurred in 16 patients (59%) consisting of supraventricular ar...Continue Reading

Citations

Jul 9, 2014·Interactive Cardiovascular and Thoracic Surgery·Christos E TourmousoglouDimitrios Dougenis
Dec 6, 2018·Acta Cirúrgica Brasileira·Paulo Roberto Barbosa ÉvoraOrlando Castro-E-Silva
Dec 21, 2010·The Heart Surgery Forum·Dominik WiedemannAlfred Kocher
Sep 18, 2012·Journal of Cardiac Surgery·Ahmad K Darwazah
Apr 14, 2016·Journal of Cardiothoracic Surgery·Takashi MakinoAkira Iyoda

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