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Ann Thorac Surg 2004;78:498-501
© 2004 The Society of Thoracic Surgeons

Original article: cardiovascular

Combined off-pump coronary artery bypass surgery and pulmonary resection

Pankaj Saxena, MCh*a, Robert K. W. Tam, FRACSa

a Department of Cardiac Surgery, The Prince Charles Hospital, Chermside, Brisbane, Queensland, Australia

Accepted for publication February 6, 2004.

* Address reprint requests to Dr Saxena, Department of Cardiothoracic Surgery, The Prince Charles Hospital, Rode Rd, Chermside, Brisbane 4032, QLD, Australia
e-mail: drpankajsaxena{at}hotmail.com

BACKGROUND: Combined cardiac surgery and pulmonary resection using cardiopulmonary bypass (CPB) has been described previously. There are a few reports of combined procedures done without using CPB. Off-pump coronary artery bypass grafting (OPCABG) eliminates organ dysfunction and suppression of immune system related to extracorporeal circulation.

METHODS: Six patients underwent combined OPCABG and lung resection during a 4-year period. Follow-up ranging from 9 months to 3 years is available for these patients.

RESULTS: Malignant pathology was the diagnosis in 5 patients and 1 patient was diagnosed with advanced chronic obstructive pulmonary disease. Right upper lobectomy was performed in 3 patients, left upper lobectomy was performed in 1 patient, right upper and middle bilobectomy was performed in 1 patient, and bilateral lung volume reduction was performed in one patient. Prolonged air leak occurred in 1 patient postoperatively and another patient experienced small right-sided residual pleural space that was resolved at 6 weeks follow-up. There were no operative deaths but there were 2 late deaths. Evidence of recurrence for angina or malignancy upon follow-up was not detected.

CONCLUSIONS: A combined procedure is a safe approach in patients diagnosed with concomitant coronary artery and pulmonary disease. Avoidance of CPB may decrease the incidence of postoperative complications.




This article has been cited by other articles:


Home page
 Asian Cardiovasc. Thorac. Ann.Home page
P. Saxena and R. Tam
COMBINED OFF-PUMP CORONARY ARTERY SURGERY AND LUNG RESECTION THROUGH THORACOTOMY
Asian Cardiovasc Thorac Ann, December 1, 2006; 14(6): 537 - 538.
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