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Combined left pneumonectomy and off-pump coronary artery bypass through left thoracotomy
N Al-Attar1, S Salvi, U Sebbag
1Department of Cardiac Surgery, Centre Cardiologique du Nord, 32-36 rue des Moulins Gémeaux, 93207 Saint-Denis CEDEX, France.
Insights
This study reports a successful one-stage surgical procedure combining left pneumonectomy and off-pump coronary artery bypass grafting (CABG). The patient achieved a 1-year disease-free survival, demonstrating the feasibility of this complex combined surgery.
Area of Science:
- Cardiothoracic Surgery
- Thoracic Oncology
- Cardiovascular Surgery
Background:
- Concomitant pneumonectomy and coronary artery bypass grafting (CABG) procedures are associated with significant risks.
- Simultaneous surgical interventions for lung resection and coronary revascularization present unique challenges.
Observation:
- A patient underwent a left pneumonectomy and off-pump CABG in a single procedure.
- The surgery was performed via a left thoracotomy incision.
Findings:
- The patient experienced a 1-year disease-free follow-up period.
- This represents a novel approach to simultaneous management of lung cancer and coronary artery disease.
Implications:
- This case suggests that a one-stage combined pneumonectomy and off-pump CABG may be a viable option for select patients.
- Further research is warranted to establish the safety and efficacy of this combined surgical strategy.
Abstract:
Concomitant pneumonectomy and coronary artery bypass grafting (CABG) carry a high morbidity and mortality rate. We present the case of a patient operated on for left pneumonectomy and off pump CABG through a left thoracotomy incision in a one-stage procedure with a 1-year disease-free follow-up. To the best of our knowledge, simultaneous surgical management as presented in this patient has not been previously reported.