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Ann Thorac Surg 2001;71:1343-1344
© 2001 The Society of Thoracic Surgeons

Case report

Combined off-pump coronary surgery and right lung resections through midline sternotomy

Massimo A. Mariani, MD, PhDa, Wim J. van Boven, MDa, Vincent A.M. Duurkens, MDc, Sjef M. Ernst, MD, PhDb, Henry A. van Swieten, MD, PhDa

a Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands
b Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands
c Department of Respiratory Diseases, St. Antonius Hospital, Nieuwegein, The Netherlands

Accepted for publication May 6, 2000.

Address reprint requests to Dr van Boven, Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands
e-mail: vboven{at}worldonline.nl

Concomitant severe coronary artery disease and lung malignancies are uncommon. Combining conventional coronary surgery with cardiopulmonary bypass with lung resection is still a controversial issue. Conversely, combining off-pump coronary surgery with right lung resections through a midline sternotomy can be an attractive approach. Off-pump coronary surgery avoids the risks of cardiopulmonary bypass, reduces systemic inflammatory response and does not affect the immune system. We report a series of three patients successfully operated using this approach.




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