Minimally invasive surgery for lung cancer with coronary artery disease

Area of Science:

• Cardiothoracic Surgery
• Thoracic Oncology
• Minimally Invasive Procedures

Background:

• Lung cancer and coronary artery disease often coexist in elderly patients.
• Surgical intervention for lung cancer in patients with coronary artery disease poses a risk of perioperative myocardial infarction.
• Minimally invasive surgical techniques aim to reduce surgical trauma and improve patient outcomes.

Observation:

• A 69-year-old female patient presented with lung cancer and severe left anterior descending coronary artery stenosis.
• The patient required surgical treatment for both conditions to achieve curative intent for lung cancer and prevent cardiac complications.

Findings:

• Simultaneous minimally invasive direct coronary artery bypass (MIDCAB) and left lower lobectomy with video-endoscopic assistance were successfully performed.
• The patient experienced no major complications post-operatively.
• Discharge occurred 14 days after the combined surgical procedure.

Implications:

• This combined surgical approach demonstrates potential safety and efficacy for patients with concurrent lung cancer and coronary artery disease.
• Simultaneous minimally invasive procedures may offer a solution to manage complex comorbidities during oncologic surgery.
• Further research is warranted to establish the long-term benefits and broader applicability of this combined surgical strategy.