[Cardiac and aortic surgery for patient with malignant tumor]

The management for patients concomitant with malignant tumor and cardiovascular disorders( CVD) is an extremely important issue in current era, especially with aging of the population. Once the patient planned surgery for neoplasma is also required the intervention of CVD, the intervention should be considered a less invasive measure as much as possible. Off-pump coronary artery bypass grafting( CABG) is more acceptable for the patient with coronary artery disease in this consideration than on-pump CABG, and in recommended anti-coagulant issue than percutaneous coronary intervention( PCI). Simultaneous surgical measure for both non-cardiovascular and cardiovascular diseases is also considered, if the patient is in well-tolerated condition. Important is to organize a team between related expertise physicians and to decide which way is better for the patient, based on a guideline.