Simultaneous cardiac surgery with pulmonary resection 

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F15%3AN0000006" target="_blank" >RIV/00098892:_____/15:N0000006 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61989592:15110/15:33158525

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S0010865015000181" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0010865015000181</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2015.02.007" target="_blank" >10.1016/j.crvasa.2015.02.007</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Simultaneous cardiac surgery with pulmonary resection 

Popis výsledku v původním jazyce

Introduction Combined heart surgery and lung resection remain a controversial issue. This method facilitates the treatment of two major problems with one intervention, reducing hospitalization cost with acceptable outcomes. On the other hand, skepticism exists related to the effects of cardiopulmonary bypass on malignancy, proper extent of lung resection from non-standard approach and to a possible greater risk of perioperative bleeding. Methods Between November 2010 and April 2014 ten patients (male 9, female 1) underwent simultaneous cardiac surgery and pulmonary resection (mean age 69 ± 7 years). Pathological findings were as follows: primary carcinoma 4, benign lesion 4, metastasis 1, and carcinoid 1. Surgery at right lung was done in five cases and on left lung in five cases (lobectomy 5, extraanatomical resection 1, enucleation 3). In one case, because of the extent of malignant process, exploration only was done via sternotomy and pneumonectomy was performed later through thoracotomy. Cardiac procedures were as follows: coronary artery bypass grafting 5, aortic valve replacement 3, mitral valve replacement 1, ascending aorta replacement 1, and MAZE procedure 3. Sternotomy was performed in eight patients; in two of them left lateral thoracotomy was used and coronary artery revascularization was performed with MIDCAB principle. Off-pump surgery was used four times. Results There was no hospital mortality. There was no reexploration because of bleeding. Cardiac part of procedures was in all cases without complications. Prolonged air-leak was found in one case. All patients with benign pathology are alive. In the malignant group, one patient with staged approach died in terminal phase of disease and the second patient deceased because of disease-non-related reasons one year after surgery. The rest of them are followed up regularly by pneumo-oncology outpatient department. Conclusion Combined heart surgery and lung resection can be performed without increased mortality and/or morbidity. The synchronous treatment avoids the necessity of a second intervention with good results and economic benefits.

Název v anglickém jazyce

Simultaneous cardiac surgery with pulmonary resection 

Popis výsledku anglicky

Introduction Combined heart surgery and lung resection remain a controversial issue. This method facilitates the treatment of two major problems with one intervention, reducing hospitalization cost with acceptable outcomes. On the other hand, skepticism exists related to the effects of cardiopulmonary bypass on malignancy, proper extent of lung resection from non-standard approach and to a possible greater risk of perioperative bleeding. Methods Between November 2010 and April 2014 ten patients (male 9, female 1) underwent simultaneous cardiac surgery and pulmonary resection (mean age 69 ± 7 years). Pathological findings were as follows: primary carcinoma 4, benign lesion 4, metastasis 1, and carcinoid 1. Surgery at right lung was done in five cases and on left lung in five cases (lobectomy 5, extraanatomical resection 1, enucleation 3). In one case, because of the extent of malignant process, exploration only was done via sternotomy and pneumonectomy was performed later through thoracotomy. Cardiac procedures were as follows: coronary artery bypass grafting 5, aortic valve replacement 3, mitral valve replacement 1, ascending aorta replacement 1, and MAZE procedure 3. Sternotomy was performed in eight patients; in two of them left lateral thoracotomy was used and coronary artery revascularization was performed with MIDCAB principle. Off-pump surgery was used four times. Results There was no hospital mortality. There was no reexploration because of bleeding. Cardiac part of procedures was in all cases without complications. Prolonged air-leak was found in one case. All patients with benign pathology are alive. In the malignant group, one patient with staged approach died in terminal phase of disease and the second patient deceased because of disease-non-related reasons one year after surgery. The rest of them are followed up regularly by pneumo-oncology outpatient department. Conclusion Combined heart surgery and lung resection can be performed without increased mortality and/or morbidity. The synchronous treatment avoids the necessity of a second intervention with good results and economic benefits.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2015

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Cor et Vasa

ISSN

0010-8650

e-ISSN

1803-7712

Svazek periodika

57

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

4

Strana od-do

„e82“- „e85“

Kód UT WoS článku

000409986100005

EID výsledku v databázi Scopus

2-s2.0-84927978396