Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/13384
Title: Concomitant coronary revascularization and resection of lung cancer.
Authors: Rosalion, Alexander;Woodford, N W;Clarke, C Peter;Buxton, Brian F
Affiliation: Cardiac Unit, Austin Hospital, Heidelberg, Victoria, Australia.
Issue Date: 1-May-1993
Citation: Australian and New Zealand Journal of Surgery; 63(5): 336-40
Abstract: As age and smoking are common risk factors, patients with lung cancer frequently have coexistent ischaemic heart disease. Ignoring the coronary disease results in an unacceptable operative mortality, whilst sequential coronary grafting and lung resection may prejudice the results of the resection. A series of 10 patients underwent combined coronary revascularization (average 2.9 grafts per patient) and lung resection for carcinoma (seven lobectomies, one bilobectomy, one sleeve lobectomy, and one pneumonectomy). The majority of patients had unstable angina, triple vessel or left main coronary artery stenosis and poorly staged tumours. There was no operative mortality and the average hospital stay was 20 days. Half the patients had significant peri-operative morbidity; seven are alive and well at between 12 and 38 months follow-up; but three have died of recurrent carcinoma (one with associated sepsis) at 3, 8, and 13 months. Combined coronary revascularization and lung resection can be safely performed in selected patients. The early morbidity is mainly related to the cardiac procedure and impaired respiratory function preoperatively, but the long-term results are dependent upon the control of the lung carcinoma.
Internal ID Number: 8481133
URI: http://ahro.austin.org.au/austinjspui/handle/1/13384
URL: http://www.ncbi.nlm.nih.gov/pubmed/8481133
Type: Journal Article
Subjects: Adenocarcinoma.complications.surgery
Aged
Carcinoma, Squamous Cell.complications.surgery
Coronary Disease.complications.surgery
Female
Humans
Lung Neoplasms.complications.surgery
Male
Middle Aged
Myocardial Revascularization
Appears in Collections:Journal articles

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