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Pulmonary resection combined with cardiac operations.

C C Canver1, J N Bhayana, T Z Lajos

  • 1Department of Surgery, State University of New York, Buffalo 14203.

The Annals of Thoracic Surgery
|November 1, 1990
PubMed
Summary

Combined cardiac and pulmonary surgery is safe for select patients. This study found a favorable prognosis for patients undergoing concurrent cardiac operations and lung lesion resection.

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Area of Science:

  • Cardiothoracic Surgery
  • Thoracic Oncology

Background:

  • Surgical management of patients with both critical cardiac disease and resectable lung lesions presents a complex clinical challenge.
  • The optimal approach for these patients remains a subject of debate within the medical community.

Purpose of the Study:

  • To evaluate the safety and efficacy of combined cardiac and pulmonary operations in patients with concurrent cardiac conditions and lung lesions.
  • To assess the short-term and long-term outcomes, including survival rates, for this specific patient cohort.

Main Methods:

  • A retrospective review of 21 patients who underwent combined cardiac and pulmonary operations between 1982 and 1988.
  • Pulmonary resections (wedge resections or lobectomies) were performed concurrently with cardiac procedures requiring extracorporeal circulation.

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  • Pathological diagnoses of lung lesions were established postoperatively in most cases.

    • Main Results:

    • The study included 8 patients diagnosed with stage I non-small cell lung cancer (epidermoid carcinoma, adenocarcinoma, bronchoalveolar carcinoma) and 13 with benign pulmonary pathology.
    • Postoperative complications were minimal, with one patient requiring a permanent pacemaker and one mortality.
    • The 5-year actuarial survival for all patients was 95%, with 88% survival for lung cancer patients and 100% for those with benign pathology.

    Conclusions:

    • Combined pulmonary resection and cardiac operations are safe and feasible in carefully selected patients.
    • This combined surgical approach offers a favorable prognosis for patients with concomitant cardiac disease and resectable lung lesions.