A case of concomitant operation of left pneumonectomy and CABG of three anastomoses

Abstract

A 54-year-old man had chest pain during walking and an abnormal shadow on chest X-ray film. He also had stenosis of the coronary arteries and received PTCA, which failed. As lung cancer was suspected, the patient was scheduled to undergo surgery of both the heart and lung in a one-stage operation. First, Coronary Artery Bypass Graft was performed under cardiopulmonary bypass, and left pneumonectomy with lymph node dissection was performed. The postoperative course was uneventful except for hemorrhage, which was controlled by transfusion. Histopathologic examination revealed adenocarcinoma with lymph node metastasis. Lung cancer and ischemic heart disease can be surgically treated simultaneously, benefitting for selected patients.