Synchronous coronary artery and pulmonary operations in three patients with lung cancer and coronary artery disease

Özgür Samancılar,

Özgür Samancılar¹, Kutsal Turhan¹, Ufuk Çağırıcı¹, Alpaslan Çakan¹, 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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