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Updated: Oct 15, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Concomitant surgery--coronary artery bypass and pulmonary lobectomy]
1Dept. of Cardiothoracic Surgery, Hadassah University Hospital, Jerusalem.
Insights
Combined coronary artery bypass grafting and pulmonary lobectomy is a safe and effective treatment for patients with both coronary artery disease and lung cancer. This combined approach reduces patient suffering and healthcare costs compared to separate procedures.
Area of Science:
- Cardiovascular Surgery
- Thoracic Oncology
- Cardiopulmonary Medicine
Background:
- Coronary artery disease (CAD) and resectable lung cancer are significant causes of patient morbidity and mortality.
- Percutaneous coronary interventions and coronary artery bypass grafting are common treatments for CAD.
- Surgical resection is the primary treatment for resectable lung cancer.
Observation:
- This study reports on 3 patients (two men aged 64 and 66, one woman aged 77) with both significant CAD and resectable lung tumors.
- All 3 patients successfully underwent combined coronary artery bypass grafting (CABG) and pulmonary lobectomy.
- The combined surgical approach was well-tolerated by all patients.
Findings:
- Concomitant CABG and pulmonary lobectomy is a safe and effective treatment strategy.
- This combined surgical approach can decrease patient suffering.
- Performing these procedures simultaneously reduces the overall cost associated with two separate invasive interventions.
Implications:
- Combined surgical procedures can be considered for patients with concurrent CAD and lung cancer.
- This approach offers a potentially more efficient and cost-effective treatment pathway.
- Further research into optimizing combined surgical strategies for complex cardiopulmonary conditions is warranted.
Abstract:
Coronary artery disease amenable to percutaneous interventions or coronary artery bypass grafting, and resectable lung cancer are major causes of morbidity and mortality. We present our experience in the treatment of 3 patients (men aged 64 and 66 and a woman of 77) who each had significant coronary artery disease and a resectable lung tumor. They underwent combined coronary artery bypass grafting and pulmonary lobectomy. We conclude from our experience and review of the literature that concomitant surgery in such cases is safe and effective, decreases suffering, and decreases the cost of 2 separate invasive procedures.
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