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Combined off-pump coronary surgery and right lung resections through midline sternotomy
M A Mariani1, W J van Boven, V A Duurkens
1Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
The Annals of Thoracic Surgery
|April 20, 2001
Abstract:
Concomitant severe coronary artery disease and lung malignancies are uncommon. Combining conventional coronary surgery with cardiopulmonary bypass with lung resection is still a controversial issue. Conversely, combining off-pump coronary surgery with right lung resections through a midline sternotomy can be an attractive approach. Off-pump coronary surgery avoids the risks of cardiopulmonary bypass, reduces systemic inflammatory response and does not affect the immune system. We report a series of three patients successfully operated using this approach.