ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Synchronous coronary artery and pulmonary operations in three patients with lung cancer and coronary artery disease
Özgür Samancılar1, Kutsal Turhan 1, Ufuk Çağırıcı1, Alpaslan Çakan 1, Mustafa Özbaran2
1Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir
2Ege Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir
The coexistence of operable primary lung carcinoma with coronary artery disease is rare. Synchronous operation is one choice of treatment, saving the patient from having two major operations at separate stages and reducing the cost. We present three male patients who underwent synchronous operations without cardiopulmonary bypass for coronary artery disease and primary lung cancer. Two patients had stage IA disease, and one patient had stage IIIB disease. Two patients underwent left and right lobectomies, respectively, while one patient with thoracic wall and left subclavian vein involvement underwent nonanatomical incomplete resection. The postoperative course was uneventful without major hemorrhage in all the patients. No signs of local recurrence or metastasis were detected in two patients with stage IA disease during follow-ups of 41 months and 37 months, respectively. The patient with stage IIIB disease completed five months of follow-up without distant metastasis.
Keywords : Comorbidity; coronary artery bypass; coronary disease/ surgery; lung neoplasms/surgery
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