Abstract
A 75-year-old man had anterior chest pain even at rest since April, 2008. Preoperative coronary angiography revealed severe stenosis of segment 5, 6, and 11. His chest X-ray and computed tomography (CT) showed an abnormal shadow with an indentation in the right upper lobe. The diagnosis of lung cancer was made by transbronchial lung biopsy.
As angina pectoris and lung cancer were diagnosed, the patient was scheduled to undergo surgery of both the heart and lung in a one-stage operation. We performed concomitant off-pump coronary artery bypass (OPCAB) and right upper lobectomy with ND2a lymph nodes resection for lung cancer trough median sternotomy.
The postoperative course was uneventful. He was discharged after confirming the patent bypass grafting on the 15th postoperative day. Histopathological diagnosis was squamous cell carcinoma without lymph node metastasis. Lung cancer and ischemic heart disease can be surgically treated simultaneously, benefitting selected patients.
