[Simultaneous off-pump coronary artery bypass surgery and pulmonary resection]

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Oncology

Context:

• Concomitant coronary artery and pulmonary disease presents a complex surgical challenge.
• Off-pump coronary artery bypass grafting (OPCAB) offers an alternative to traditional bypass methods.
• Pulmonary resection is indicated for various lung pathologies, including malignancy and severe COPD.

Purpose:

• To evaluate the safety and efficacy of combined OPCAB and pulmonary resection.
• To assess the outcomes of patients undergoing simultaneous cardiac and lung procedures.
• To determine the impact of OPCAB on postoperative complications in patients requiring pulmonary resection.

Summary:

• Seven patients with coronary artery disease and pulmonary disease underwent combined OPCAB and pulmonary resection.
• OPCAB preceded lung procedures, with sternotomy as the preferred approach.
• No in-hospital mortality occurred; one late death and minor complications were observed. Five patients had malignant tumors, and two had severe COPD. Follow-up showed no myocardial ischemia, with one local recurrence.

Impact:

• Combined OPCAB and pulmonary resection is a safe and effective strategy for managing patients with concurrent heart and lung conditions.
• This approach may lead to a reduced incidence of postoperative complications compared to separate procedures.
• The study highlights the feasibility of managing complex cardiosurgical and thoracic cases in a single operative setting.