J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2383KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 90(12): 2037-2043, 1989

Original article

SURGICAL TREATMENTS FOR CORONARY ARTERY DISEASE ASSOCIATED WITH CANCER : A CONSIDERATION OF SIMULTANEOUS PROCEDURE OF CORONARY ARTERY REVASCULARIZATION AND SURGERY FOR CANCER

First Department of Surgery, Osaka University Medical School, Osaka, Japan
*) First Department of Surgery, Gifu University Medical School, Gifu, Japan

Toshiki Takahashi, Susumu Nakano, Hikaru Matsuda, Ryuichi Matsumura, Makoto Sakurai, Hajime Hirose*), Yasunaru Kawashima

There were 14 patients with a mean age of 65 years (ranged from 47 to 77) who had severe coronary artery disease associated with cancer of other organs. Stomach cancer was in 8 patients, breast cancer in 2, lung cancer in 2, rectum cancer in 1, and esophagus cancer in 1.
They were treated with sequence of coronary artery revascularization and surgery for cancer; 9 patients in a two-staged fashion and 5 recent patients in a simultaneous one. In the series of simultaneous procedure, A-C bypass was combined with left ventricular aneurysmectomy in one patient and closure of ASD in another. There was no cardiac complication in both series, but one death from the complication of surgery for cancer in the staged series. Three patients in the staged series could not help being postponed the surgery for cancer by slow recovery from A-C bypass.
In conclusion, coronary artery revascularization should anticipate surgery for cancer and simultaneous combined procedures should be chosen when possible.

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