Simultaneous off-pump coronary artery bypass surgery and pulmonary resection / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1538-1540, 2006.
Artigo
em Chinês
| WPRIM
| ID: wpr-288551
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the experience of combined off-pump coronary artery bypass grafting (OPCAB) and pulmonary resection.</p><p><b>METHODS</b>Seven patients with unstable angina or a history of myocardial infarction and pulmonary disease underwent combined OPCAB and pulmonary resection. All of them underwent coronary angiography, and neither coronary angioplasty nor stenting was feasible. OPCAB preceded the lung resections. The preferred approach to the heart and lung was by sternotomy. Left upper lobectomy was performed in 2 patients, right upper lobectomy was performed in 1 patient, right lower lobectomy was performed in 1 patient, right upper and middle bilobectomy was performed in 1 patient, left lung volume reduction surgery (LVRS) was performed in 1 patient and bilateral LVRS was performed in 1 patient.</p><p><b>RESULTS</b>There were no hospital mortality in this group of patients, however there were one late death. Sternal dehiscence occurred in 1 patient which was observed with a need for re-sternotomy and atrial fibrillation was observed in 1 patient. Five patients were diagnosed as malignant tumor by pathology test, and 2 patients were severe chronic obstructive pulmonary disease (COPD). Follow-up ranging from 2 months to 31 months was available for these patients. None of the patients showed evidence of myocardial ischemia after surgery. In one patient, who underwent right upper and middle bilobectomy, local recurrence was found at 19 months after surgery.</p><p><b>CONCLUSIONS</b>OPCAB carried out simultaneously with lung resection is a safe and effective approach in patients diagnosed with concomitant coronary artery and pulmonary disease. OPCAB may decrease the incidence of postoperative complications.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonectomia
/
Complicações Pós-Operatórias
/
Cirurgia Geral
/
Seguimentos
/
Resultado do Tratamento
/
Ponte de Artéria Coronária sem Circulação Extracorpórea
/
Angina Instável
/
Pneumopatias
/
Métodos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2006
Tipo de documento:
Artigo
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