The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
A case of one-stage surgery for lung cancer and aortic valve stenosis
Masatoshi KanayamaMasaaki InoueJunichi YoshidaYoshiyuki YamashitaTatsushi OnzukaYasutaka Ueno
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2016 Volume 30 Issue 7 Pages 845-850

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Abstract

A 79-year-old man was referred to our hospital for the treatment of diabetes mellitus. Chest CT showed lung cancer in the right upper lobe of his lung (c-T2aN0M0, Stage IB) and aortic stenosis with calcification. We performed one-stage surgery for his lung cancer and aortic valve stenosis because the aortic valve stenosis was severe, and progression of the lung cancer following the valvular disease operation was a concern. We performed right upper lobectomy and lymph nodal dissection systemically through a median sternotomy, after the cardiopulmonary bypass standby, and subsequently performed aortic valve replacement under cardiopulmonary bypass. The patient was discharged on postoperative day 17 without any unexpected events. We report the case of one-stage surgery for lung cancer and aortic valve stenosis, which can be performed and facilitate a safe postoperative course. The one-stage surgery for lung cancer and aortic valve stenosis is assumed to be a safe method if preoperative evaluation is precise.

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© 2016 The Japanese Association for Chest Surgery
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