Lung resections concomitant to coronary artery bypass grafting

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Abstract
From 1980 through 1993 ten patients underwent concomitant coronaryartery bypass grafting and lung resection via median sternotomy. In eightpatients a lung malignancy was resected, of which one was a small cell lungcancer. The lung resection was carried out before cardiopulmonary bypass ineight patients and during cardiopulmonary bypass in two. Coronary arterybypass grafting was performed using saphenous vein in eight patients;internal mammary artery was used as arterial conduit in two patients. Therewas one postoperative death while postoperative complications duringhospital stay occurred in two patients. Pulmonary bleeding did not occur inany patient in whom lung resection was performed either before or duringcardiopulmonary bypass. Both the patients who had internal mammary arterygrafting experienced complications related to an associated lobectomy. Astaged procedure is advisable if internal mammary artery has to be used anda lobectomy is required. The long-term survival in the patients with lungcancer was less than expected but the number of patients is too small todraw definite conclusions.

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