Combined surgical treatment of lung cancer and heart diseases
| Autor: | Jiri Mandak, Nedal Omran, Kovacicova K |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Extracorporeal Circulation Economics and Econometrics medicine.medical_specialty Lung Neoplasms Heart disease medicine.medical_treatment Revascularization Postoperative Complications Risk Factors Materials Chemistry Media Technology Humans Medicine Lung cancer Aged business.industry Extracorporeal circulation Mitral valve replacement Forestry Middle Aged medicine.disease Cardiac surgery Surgery Treatment Outcome medicine.anatomical_structure Cardiovascular Diseases Etiology Female business Artery |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1336-0345 |
| Popis: | Objective The co-incidence of lung cancer and heart disease is increasing. This can be caused by population ageing, which has more co-morbidities and most likely due to the common etiological causes of both entities, i.e. smoking, hypertension and obesity. The aim of this study was to analyze the outcomes of simultaneously performed heart surgery and pulmonary resection in a selected group of patients. Methods From January 2002 to December 2011 we performed in our department 1115 pulmonary resections for lung tumor. Significant heart disease requiring surgical treatment was diagnosed in 21 patients from the whole group. In 12 patients, group A; simultaneous heart surgery and lung resection procedure were performed. Results Group A consisted of 8 men and 4 women with the median age of 67.8 ± 5.9 years. In this group, 10 lobectomy procedures and 2 wedge resections for pulmonary metastasis were done. Nine patients underwent coronary artery revascularization, 2 patients underwent mitral valve replacement and one patient underwent tumor removal from the left atrium. In 5 patients, extracorporeal circulation (ECC) was needed, the remaining 7 patients underwent myocardial revascularization using an off-pump technique. Group B consisted of 7 men and 5 women with the age of 68.5 ± 7.4 years. Ten lobectomy procedures and 2 wedge resections were performed. Conclusion The risk of simultaneously performed lung resection and cardiac surgery is not high. Despite the certain differences in clinical indicators between group A and B, the safety of simultaneous procedure, in group A, was evident. Furthermore, earlier lung resection was enabled and the eventual complications from further surgical procedure were avoided (Tab. 5, Ref. 33). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|