eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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4/2013
vol. 10
 
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abstract:

Cardiac surgery
Long-term results after concomitant cardiac surgery and pulmonary resection

Alexander Kogan
,
Merav Rocah
,
Sergey Preisman
,
Jacob Lavee
,
David Simansky
,
Alon Ben Nun
,
Ehud Raanani
,
Leonid Sternik

Kardiochirurgia i Torakochirurgia Polska 2013; 10 (4): 347–351
DOI: https://doi.org/10.5114/kitp.2013.39735
Online publish date: 2013/12/27
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Background: Concomitant lesions of the heart and lung are uncommon, but when present they pose a challenge for cardiac and thoracic surgeons. Patients with lung cancer and heart disease are at a high risk for postoperative death or severe cardiovascular complications.

Aim of the study: To report our results of concomitant cardiac surgery and lung resection.

Material and methods: From 1994 to 2012, 18 patients with cardiac disorders and lung cancer or another lung disease were operated on. Twelve patients underwent coronary artery bypass grafting, 3 patients underwent aortic valve replacement and 3 patients underwent another cardiac surgery procedure. The pulmonary resections consisted of pneumonectomy in 1 patient, lobectomy in 6 patients and wedge excision in 10 patients. Follow-up was obtained for all 18 patients (mean follow-up 70.6 months; range 224 to 0.7 months).

Results: The pathologic examination confirmed lung malignancy in 12 patients. Five patients were operated on due to a non-oncologic pathology and 1 patient underwent lung volume resection. Overall late survival was 88% and 67% at 1 and 5 years, respectively.

Conclusions: Lung resection carried out concomitantly with cardiac surgery is safe and effective. A combined procedure avoids the need for a second major thoracic procedure and may improve clinical outcome.
keywords:

cardiac surgery; thoracic surgery; concomitant surgery
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