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Updated: May 19, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
Simultaneous nephrectomy and coronary artery bypass grafting through extended sternotomy
Algimantas Budrikis1, Mindaugas Jievaltas, Sami Al Assaad
1Department of Cardiothoracic and Vascular Surgery, Medical Academy, Lithuanian University of Health Sciences, Eiveniu str, 2, 50009, Kaunas, Lithuania.
Journal of Cardiothoracic Surgery
|September 1, 2012
Summary
Simultaneous surgery for renal cell carcinoma and coronary artery disease is feasible. This combined approach offers a safe and effective treatment option for carefully selected patients.
Area of Science:
- Cardiovascular Surgery
- Surgical Oncology
- Anesthesiology
Background:
- Recent advancements in surgical techniques, resuscitation, and anesthesiology enable simultaneous thoracic and abdominal operations.
- These combined procedures address concurrent conditions like cancer and severe heart vessel disease.
- The goal is to achieve long-lasting remission or cure by treating multiple diseases at once.
Observation:
- A 63-year-old male patient presented with severe coronary artery disease and renal carcinoma.
- The patient underwent a simultaneous nephrectomy (kidney removal) and coronary artery bypass grafting (CABG).
- The procedure utilized an extended sternotomy approach under cardiopulmonary bypass.
Findings:
- Pathological investigation confirmed renal cell carcinoma (pT3a N0 M0, G2).
- Coronarography revealed advanced three-vessel coronary artery disease.
- The simultaneous surgery was successfully performed, achieving curative intent for both conditions.
Implications:
- Simultaneous surgery for resectable renal cancer and coronary artery disease is a beneficial and safe strategy.
- This approach is suitable for carefully selected patients requiring treatment for both conditions.
- Combined surgical interventions can lead to improved patient outcomes and disease management.
