Early to Midterm Results of Cardiac Surgery with Concomitant Pulmonary Resection
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概要
- 論文の詳細を見る
Background: We report our experience of cardiac surgery with concomitant pulmonary resection, based on analysis of the results.Methods: Eleven patients (1 woman, 10 men) underwent cardiac surgery simultaneously with pulmonary resection; ten of them through median sternotomy. The cancer pathology consisted of non-small cell carcinoma (n = 10), and benign teratoma (n = 1). All lung lesions were removed using a wedge resection. Cardiac procedures consisted of off-pump coronary artery bypass grafting (n = 4), aortic valve replacement (n = 3), mitral valve plasty (n = 2), total arch replacement (n = 1), and descending aorta replacement (n = 1). Lung wedge resections were performed after induction with protamine sulfate.Results: The mean follow-up period was 19 ± 11 months (2–34). There was no operative mortality and no major cardiac complications. Three patients underwent a subsequent lobectomy through lateral thoracotomy. There were two postoperative deaths: one was from an unknown cause, 8 months postoperatively and another was from a lung cancer recurrence, 9 months after surgery. There were two local recurrences, 9 months and 14 months, postoperatively. The mean cancer-free period was 17 ± 10 (2–32) months.Conclusion: Rates of operative mortality and morbidity following cardiac surgery with concomitant pulmonary resection were favorable, and early to midterm results were acceptable.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
- 2012-02-01
著者
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Asai Tohru
Division Of Cardiology Kanazawa Cardiovascular Hospital
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Kambara Atsushi
Division Of Cardiovascular Surgery Shiga University Of Medical Science
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Matsubayashi Keiji
Division Of Cardiovascular Surgery Shiga University Of Medical Science
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Suzuki Tomoaki
Division Of Cardiovascular Surgery Shiga University Of Medical Science
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Hosoba Soh
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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HANAOKA Jun
Division of Cardiovascular and Thoracic Surgery, Shiga University of Medical Science
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TAKASHIMA Noriyuki
Division of Cardiovascular and Thoracic Surgery, Shiga University of Medical Science
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Matsubayashi Keiji
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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Asai Tohru
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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Hanaoka Jun
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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Kambara Atsushi
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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Takashima Noriyuki
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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Suzuki Tomoaki
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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