A case of simultaneous off-pump CABG and left lower lobectomy via left anterolateral thoracotomy
Miura, M.; Nakame, T.; Itoh, Y.; Aikawa, K.; Isogami, K.; Ohkuda, K.
Kyobu Geka. Japanese Journal of Thoracic Surgery 53(11): 963-965
2000
ISSN/ISBN: 0021-5252 PMID: 11048451 Document Number: 524660
Surgical management for simultaneous pulmonary resection and cardiac surgery remains controversial. We report a case of coexisting lung carcinoma and angina pectoris who was managed successfully with a concomitant operation via the left anterolateral thoracotomy through the fourth intercostal space. After left lower lobectomy, left anterior descending and distal circumflex arteries were anastomosed with composite left internal thoracic and radial artery grafts without use of cardiopulmonary bypass. Both less invasive CABG and curative resection of lung carcinoma were achieved with these procedures.