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[Simultaneous coronary artery bypass grafting on the beating heart without assisted circulation and radical modified
L Anisimowicz1, K Jarmoszewicz, J Kruszewski
1Kliniki Kardiochirurgii Instytutu Kardiologii Akademii Medycznej w Gdańsku.
Insights
Simultaneous off-pump coronary artery bypass grafting and mastectomy is safe for select patients. This combined approach offers a beneficial treatment for those with both coronary artery disease and breast cancer.
Area of Science:
- Cardiovascular Surgery
- Surgical Oncology
- Oncoplastic Surgery
Background:
- Unstable angina pectoris and primary breast cancer present a complex clinical challenge.
- Simultaneous surgical intervention requires careful patient selection and procedural planning.
Observation:
- A 53-year-old female underwent combined off-pump coronary artery bypass grafting (OPCABG) and modified radical mastectomy.
- The OPCABG was performed on a beating heart via median sternotomy, followed immediately by the mastectomy.
- Hemodynamics remained stable throughout the procedure, with no significant bleeding observed.
Findings:
- The patient experienced no perioperative or postoperative complications.
- Adjuvant radiotherapy was initiated three months post-surgery.
- Concomitant surgical treatment demonstrated safety and efficacy in this case.
Implications:
- Simultaneous surgical management is feasible for carefully selected patients with coexisting coronary artery disease and breast cancer.
- This combined approach may offer a beneficial treatment strategy, improving outcomes for patients requiring both cardiac and oncologic surgery.
- Further research into optimizing patient selection and surgical techniques for combined procedures is warranted.
Abstract:
A case of 53-year-old female with unstable angina pectoris and primary right breast cancer is presented. Simultaneous operation including coronary artery bypass grafting and modified radical mastectomy was performed. On the beating heart coronary anastomoses were done without cardiopulmonary bypass (CPB) through median sternotomy (OPCABG). Immediately after OPCABG cancer operation was performed under stable hemodynamics without any bleeding tendency. There were neither perioperative nor postoperative complications noticed. Three months after operation adjuvant local radiotherapy was started. Concomitant surgical treatment seems to be safe and beneficial in carefully selected patients who have surgically correctable coronary artery disease and potentially curable breast cancer.