Combined Bilateral Lung Resections and Off-pump Coronary Artery Bypass Grafting

Masato Kanzaki, MD, PhD,1,2 Megumu Kanno, MD, PhD,2 and Takamasa Onuki, MD, PhD1

We report herein a 74 year old man with angina who had an abnormal chest roentgenogram. Computed tomography of the chest showed a solitary 1.0-cm peripheral, noncalcified lesion in the apical segment of the left lower lobe and a 1.5-cm peripheral lesion in the posterior basal segment of the right lower lobe. Coronary angiography revealed the left anterior descending coronary artery to have a long 90% stenosis. We report here a case of a combined bilateral lung resection and off-pump coronary surgery though a midline sternotomy in a compromised lung function patient with both severe coronary artery disease and bilateral synchronous primary lung cancer. (Ann Thorac Cardiovasc Surg 2002; 8: 393-393)

Key words: lung cancer, ischemic heart disease, lung resection, off-pump coronary artery bypass grafting (CABG)

From 1Department of Surgery I, Tokyo Women's Medical University, Tokyo, and 2Division of Cardiovascular Surgery, Southern Tohoku Research Institute for Neuroscience, Fukushima, Japan

Received August 19, 2002; accepted for publication October 1, 2002
Address reprint requests to Masato Kanzaki, MD, PhD: Department of Surgery I, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.