[Surgical treatment of lung cancer after myocardial infarct]

The work deals with 70 patients with lung carcinoma and ischemic heart disease and with a history of myocardial infarction. The minimal period between the infarction and the operation was 4 months. The oldest patient was 72 years of age. Patients with I (44%) and III (36%) stages of the disease prevailed. Pneumonectomy (15), lobe-bilobectomy (46), economical resection (7), and explorative thoracotomy (2) were conducted. Reconstructive-plastic organ-preserving and economical resections of the lung widen the indications for surgical treatment of patients with a history of myocardial infarction. Preoperative and postoperative management of patients is recommended. It is preferable to operate on patients with lung carcinoma and a history of myocardial infarction no earlier than 6 months after the infarction. Five-year survival among patients who underwent radical operation was 29.2%, among those treated by lobe-bilobectomy and economical resection, 42.5%, and after pneumonectomy, 18.2%.