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[A concomitant operation of coronary artery bypass grafting and thymectomy: a case report]
K Ohshima1, S Ishikawa, I Yoshida
1Second Department of Surgery, Gunma University School of Medicine, Maebashi, Japan.
Insights
This study reports the first concomitant surgery in Japan for a patient with both invasive thymoma and severe coronary artery disease. The successful procedure involved simultaneous thymectomy and coronary artery bypass grafting.
Area of Science:
- Cardiothoracic Surgery
- Oncology
- Vascular Surgery
Background:
- Concomitant surgical management of invasive thymoma and coronary artery disease presents unique challenges.
- Optimal treatment strategies for patients with concurrent thoracic malignancies and ischemic heart disease require careful consideration.
Observation:
- A 63-year-old male presented with an anterior mediastinal mass (6.0 x 4.0 cm) consistent with invasive thymoma.
- Coronary angiography revealed critical stenosis in the right coronary artery and the first diagonal branch (#9).
Findings:
- The patient underwent successful simultaneous thymectomy and coronary artery bypass grafting (CABG) using the great saphenous vein.
- The surgical procedure included resection of the left phrenic nerve and mediastinal pleura.
Implications:
- This case demonstrates the feasibility and success of combined surgical approach for patients with both invasive thymoma and coronary artery disease.
- Such combined procedures may offer a viable treatment option, improving outcomes for patients with these co-existing conditions.
Abstract:
A 63-year-old man was successfully operated upon concomitantly for coronary artery disease and invasive thymoma. The chest roentogenogram showed a mass shadow in the anterior mediastinum, which was 6.0 x 4.0 cm in size and irregular. Coronary angiography revealed complete obstruction of the right coronary artery and 90% stenosis of the first diagonal branch (#9). Following thymectomy combined with the resection of the left phrenic nerve and the mediastinal pleura, coronary artery bypass grafting with the major saphenous vein was performed to #4 PD and #9. This is the first report of concomitant surgery for the ischemic heart disease and invasive thymoma in Japan.