Author of

• 18670

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  P3.04 - Poster Session with Presenters Present (ID 474)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 12/07/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 18696

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    P3.04-026 - A Simultaneous Surgical Strategy for Patients with Lung Cancer and Severe Cardiac Diseases Requiring Surgical Treatment (ID 5666)

    14:30 - 14:30  |  Author(s): J.J. Jung
    • Abstract

    Background:
    The simultaneous surgical treatment of lung carcinoma and cardiac disease is rare.The aim of the study was to analyze the early and mid-term results of simultaneous surgical treatment for concomitant lung cancer and cardiac diseases which both needs surgical treatment.
    
    Methods:
    We performed a retrospective review of 12 patients who underwent pulmonary and cardiac surgery, from 2002 to 2015, in a single institution. We focused on early postoperative morbidity and mortality.
    
    Results:
    Total 12 patients were recruited from 2002 to 2015 in the department of cardiothoracic surgery at the Samsung Medical Center in Korea. Nine patients were the diagnosed as concomitant non-small cell lung cancer and coronary artery disease, one patient was diagnosed as concomitant non-small lung cancer and aortic arch aneurysm, one patient was diagnosed as concomitant non-small lung cancer and mitral stenosis with tricuspid regurgitation, one patient was diagnosed as concomitant BALtoma and ASD with pulmonary hypertension. Various cardiac surgeries were performed simultaneously with the pulmonary resection. Ten patients were performed via median sternotomy, and 2 patients were performed via anterior thoracotomy. The mean age of the patients was 62.7 years old. Follow-up ranging from 6 months to 12 years is available for these patients. The lobectomy by median sternotomy rate was 41.6 % (5 patients), the lobectomy by anterior thoracotomy rate was 16.7 % (2 patients), and the wedge resection by median sternotomy rate was 41.6 % (5 patients). There were no mortality or major morbidity, apart from 8 minor complications in four patients (33.3%) (air leak, atrial fibrillation, atelectasis, pneumonia, delirium).
    
    Conclusion:
    Simultaneous cardiac surgery and lung resection in this small number of patients were safely performed without life-threatening morbidity and no in-hospital mortality.