Details

Autor(en) / Beteiligte

• Canver, Charles C.
• Bhayana, Joginder N.
• Lajos, Thomas Z.
• Raza, Syed T.
• Lewin, A.Norman
• Bergsland, Jacob
• Mentzer, Robert M.

Titel

Pulmonary resection combined with cardiac operations

Ist Teil von

• The Annals of thoracic surgery, 1990-11, Vol.50 (5), p.796-799

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

1990

Quelle

MEDLINE

Beschreibungen/Notizen

• Surgical management of patients with concomitant critical cardiac disease and resectable lung lesions is controversial. During a 7-year period (1982 to 1988), 21 patients underwent combined cardiac and pulmonary operations. Patients had cardiac symptoms only; the lung lesions were found on preoperative chest roentgenograms. The pathological diagnosis was established in only 2 of the patients before operation. All underwent concurrent pulmonary resection during cardiac operations requiring extracorporeal circulation. The pulmonary operations included 17 wedge resections and four lobectomies. The final diagnoses in 8 patients with stage I non-small cell lung cancer included epidermoid carcinoma (4), adenocarcinoma (3), and bronchoalveolar carcinoma (1). Postoperatively, 1 patient required a permanent pacemaker and 1 patient died. The actuarial survival at 5 years for all patients who underwent combined procedures was 95%. The 5-year survival for the 8 patients with lung cancer was 88% compared with 100% for those with benign pulmonary pathology ( p = 0.172). This experience suggests that combining pulmonary resection with cardiac operations is safe and offers a favorable prognosis to a select group of patients.