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Concomitant cardiac and pulmonary operations.

J M Piehler, V F Trastek, P C Pairolero

    The Journal of Thoracic and Cardiovascular Surgery
    |November 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

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    Concomitant cardiac and pulmonary procedures are safe for selected patients. Avoid pulmonary resections during anticoagulation due to increased risk of hemorrhage.

    Area of Science:

    • Cardiothoracic Surgery
    • Thoracic Oncology

    Background:

    • Patients with cardiac conditions often present with incidental lung nodules.
    • Preoperative diagnosis of pulmonary lesions can be challenging.

    Purpose of the Study:

    • To evaluate the safety and outcomes of combined cardiac and pulmonary procedures.
    • To assess the risk of pulmonary resections during systemic anticoagulation.

    Main Methods:

    • Retrospective review of 43 patients undergoing simultaneous cardiac and pulmonary procedures.
    • Pulmonary procedures included wedge resections, lobectomy, and pneumonectomy.
    • Analysis of operative outcomes, including mortality and complications.

    Main Results:

    • Nine of 38 patients with unknown pulmonary diagnoses had malignant lesions.

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  • Two operative deaths occurred (4.6%); one related to pulmonary hemorrhage during anticoagulation.
  • Most patients recovered well, with no complications related to pulmonary resection performed without anticoagulation.

    • Conclusions:

    • Combined cardiac and pulmonary surgery via a single median sternotomy is feasible and beneficial for carefully selected patients.
    • Pulmonary resections during systemic anticoagulation should be avoided due to increased hemorrhage risk.
    • Concomitant surgical correction of cardiac and pulmonary disease can be safely achieved.