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Concomitant open heart surgery and pulmonary resection for lung cancer

Concomitant open heart surgery and pulmonary resection for lung cancer AbstractFrom 1979 to 1993, 79 patients underwent pulmonary resection for lungcancer and a concomitant cardiac operation using extracorporealcirculation. There were 75 men and 4 women with a mean age of 65 years(range 52-77). Cardiac procedures consisted of coronary artery bypassgrafting (CABG) in 69 patients (three redos), aortic valve replacement in 7(2 combined with CABG), mitral valve repair in 1 (combined with CABG) andother in 2. In CABG cases the mean number of distal anastomoses was 4.0.Pulmonary resection included bilateral lobectomy in 1 patient, sleevelobectomy in 3, pneumonectomy in 6, bilobectomy in 5, lobectomy in 60 andsegmental resection in 4. Postoperatively 52 patients were stage I (65.8%),18 stage II (22.8%) and 9 stage III a. Histology was squamous cellcarcinoma in 48 patients (61%) and adenocarcinoma in 24 patients (30%). Thehospital mortality was 6.3% (n = 5). Re-exploration for bleeding wasnecessary in seven patients. Follow-up was complete for all patients. Theestimated mean survival for all patients (including hospital deaths) was 58months. Two- and five-year survival rates were 62% and 42% with 45 and 22patients, respectively, under surveillance. Lung cancer accounted for 64%of the late deaths. We conclude that pulmonary resection for lung cancer inpatients undergoing a concomitant cardiac operation can be performed safelywith low operative morbidity and mortality and good long-term survival. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cardio-Thoracic Surgery Oxford University Press

Concomitant open heart surgery and pulmonary resection for lung cancer

European Journal of Cardio-Thoracic Surgery , Volume 9 (6) – Jun 1, 1995
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References (2)

Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
1010-7940
eISSN
1873-734X
DOI
10.1016/S1010-7940(05)80188-5
Publisher site
See Article on Publisher Site

Abstract

AbstractFrom 1979 to 1993, 79 patients underwent pulmonary resection for lungcancer and a concomitant cardiac operation using extracorporealcirculation. There were 75 men and 4 women with a mean age of 65 years(range 52-77). Cardiac procedures consisted of coronary artery bypassgrafting (CABG) in 69 patients (three redos), aortic valve replacement in 7(2 combined with CABG), mitral valve repair in 1 (combined with CABG) andother in 2. In CABG cases the mean number of distal anastomoses was 4.0.Pulmonary resection included bilateral lobectomy in 1 patient, sleevelobectomy in 3, pneumonectomy in 6, bilobectomy in 5, lobectomy in 60 andsegmental resection in 4. Postoperatively 52 patients were stage I (65.8%),18 stage II (22.8%) and 9 stage III a. Histology was squamous cellcarcinoma in 48 patients (61%) and adenocarcinoma in 24 patients (30%). Thehospital mortality was 6.3% (n = 5). Re-exploration for bleeding wasnecessary in seven patients. Follow-up was complete for all patients. Theestimated mean survival for all patients (including hospital deaths) was 58months. Two- and five-year survival rates were 62% and 42% with 45 and 22patients, respectively, under surveillance. Lung cancer accounted for 64%of the late deaths. We conclude that pulmonary resection for lung cancer inpatients undergoing a concomitant cardiac operation can be performed safelywith low operative morbidity and mortality and good long-term survival.

Journal

European Journal of Cardio-Thoracic Surgery – Oxford University Press

Published: Jun 1, 1995

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