scholarly journals Simultaneous video-assisted lower lobectomy on the left and coronary artery bypass grafting in a patient with peripheral cancer of the lower lobe of the left lung in combination with severe coronary artery stenosis

2021 ◽  
Vol 180 (4) ◽  
pp. 74-77
Author(s):  
A. V. Nikulin ◽  
G. A. Akopov ◽  
I. V. Pashkov ◽  
E. R. Nasipova ◽  
Ya. S. Yakunin
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Coronary Artery Stenosis ◽  
Artery Bypass ◽  
Left Lung ◽  
Lower Lobe ◽  
Bypass Grafting ◽  
Lower Lobectomy ◽  
Severe Coronary Artery

Сочетание таких болезней, как ишемическая болезнь сердца и рак легких, является проблемой для определения тактики лечения. С одной стороны, наличие злокачественного образования предполагает оперативное лечение в срочном порядке; с другой стороны, наличие коронарной патологии не позволяет выполнить операцию в связи с огромным риском развития осложнений в раннем послеоперационном периоде. Представлен первый в России случай выполнения симультанной операции в объеме комбинированной видеоассистированной нижней лобэктомии слева и аортокоронарного шунтирования. Сначала был выполнен легочный этап операции, так как использование аппарата искусственного кровообращения во время шунтирования требует медикаментозной гипокоагуляции путем введения высоких доз гепарина, что значительно увеличивает риск интраоперационных кровотечений. В отечественной литературе мы не нашли сообщений о подобного рода операциях с использованием эндоскопической техники в лечении больных с сочетанием рака легких и выраженного стеноза коронарных артерий.

Minimal invasive extracorporeal circulation for coronary revascularization surgery

2021 ◽  
pp. 205-210
Author(s):  
Kyriakos Anastasiadis ◽  
Thierry Carrel
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Organ Injury ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Severe Coronary Artery ◽  
Artery Disease

Coronary artery bypass grafting is associated with improved long-term outcome in severe coronary artery disease compared to percutaneous techniques since refinements in surgical technique have reduced morbidity and mortality. Use of cardiopulmonary bypass remains the standard strategy to perform cardiac surgery, which also applies to coronary artery bypass grafting surgery. However, despite major advancements, systemic inflammatory response syndrome and coagulation derangement during conventional cardiopulmonary bypass are still involved in postoperative end-organ injury.

Seasonal Incidence of Emergent Coronary Artery Bypass Grafting Surgery

2016 ◽  
Vol 19 (2) ◽  
pp. 048
Author(s):  
Jimmy T. Efird ◽  
William Fenner Griffin ◽  
Stephen W. Davies ◽  
Wesley T. O’Neal ◽  
Patricia B. Crane ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Seasonal Variation ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Severe Coronary Artery Disease ◽  
Severe Coronary Artery ◽  
Artery Disease

<strong>Background:</strong> Emergent coronary artery bypass grafting (CABG) surgery is often required in the case of severe coronary artery disease, which is refractory to traditional management. The objective of our study was to test the hypothesis that there is seasonal variation in the incidence of emergent CABG.<br /><strong>Methods:</strong> A sinusoidal logistic regression model was used to analyze operative data at our cardiovascular institute of 270 cases spanning 5939 calendar days.<br /><strong>Results:</strong> A cyclic peak risk for emergent CABG was observed for late winter (calendar day 66; P = .036). The odds ratios for the 1-, 2- and 3-month window surrounding this peak were 1.8 (95% CI = 0.94-3.5, P = .072), 1.6 (95% CI = 1.06-2.5, P = .024) and 1.4 (95% CI = 0.9-1.8, P = .066), respectively.<br /><strong>Conclusion:</strong> Our results suggest that a seasonal variation may exist in the incidence of patients presenting with severe coronary artery disease requiring emergent CABG. This information is useful in the scheduling of hospital resources and staff. It also provides important etiology clues underlying coronary artery disease that may lead to future interventions or targeted therapies. <br /><br />

scholarly journals Huge Interatrial Septal Aneurysm: A Coincidental but Rather Fatal Finding

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Petros Tzimas ◽  
Georgios Papadopoulos
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Fatal Outcome ◽  
Right Atrial ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Severe Coronary Artery ◽  
Artery Disease

We report the case of a patient with a huge interatrial septal aneurysm as an intraoperative coincidental finding that led to a fatal outcome. The patient was admitted to our hospital in order to undergo elective coronary artery bypass grafting because he suffered from severe coronary artery disease. We intraoperatively diagnosed by transesophageal echocardiography a huge interatrial septal aneurysm mimicking a right atrial tumor. The aneurysm was initially resected and then coronary artery bypass grafting was successfully performed but the patient never achieved a successful separation from cardiopulmonary bypass probably because of massive embolic events.

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