Long-term results after concomitant cardiac surgery and pulmonary resection

Alexander Kogan, Merav Rocah, Sergey Preisman, Jacob Lavee, David Simansky, Alon Ben Nun, Ehud Raanani, Leonid Sternik

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Concomitant lesions of the heart and lung are uncommon, but when present they pose a challenge for cardiac and thoracic surgeons. Patients with lung cancer and heart disease are at a high risk for postoperative death or severe cardiovascular complications. Aim of the study: To report our results of concomitant cardiac surgery and lung resection. Material and methods: From 1994 to 2012, 18 patients with cardiac disorders and lung cancer or another lung disease were operated on. Twelve patients underwent coronary artery bypass grafting, 3 patients underwent aortic valve replacement and 3 patients underwent another cardiac surgery procedure. The pulmonary resections consisted of pneumonectomy in 1 patient, lobectomy in 6 patients and wedge excision in 10 patients. Follow-up was obtained for all 18 patients (mean follow-up 70.6 months; range 224 to 0.7 months). Results: The pathologic examination confirmed lung malignancy in 12 patients. Five patients were operated on due to a non-oncologic pathology and 1 patient underwent lung volume resection. Overall late survival was 88% and 67% at 1 and 5 years, respectively. Conclusions: Lung resection carried out concomitantly with cardiac surgery is safe and effective. A combined procedure avoids the need for a second major thoracic procedure and may improve clinical outcome.

Original languageEnglish
Pages (from-to)347-351
Number of pages5
JournalKardiochirurgia i Torakochirurgia Polska
Volume10
Issue number4
DOIs
StatePublished - 1 Dec 2013
Externally publishedYes

Keywords

  • Cardiac surgery
  • Concomitant surgery
  • Thoracic surgery

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