Lung cancer resection or aortic graft replacement with simultaneous myocardial revascularization without cardiopulmonary bypass

Background: The concomitant occurrence of lung cancer or other thoracic pro blems requiring surgical treatment in patients with significant coronary ar tery disease is uncommon, Methods: Three patients underwent revascularization of the anterior descend ing artery, without cardiopulmonary bypass, with simultaneous pulmonary lob ectomy (two patients) or replacement of an obstructed descending aortic gra ft (one patient). Results: Postoperative ventilation time was < 3 h, and no morbidity related to the combined procedure occurred during midterm follow-up, Conclusions: This one-stage approach allowed the immediate solution of two intrathoracic comorbidities, reducing expenses and suffering to the patient s and minimizing the risk of bleeding or tumor dissemination secondary to e xtracorporeal circulation-induced coagulopathy and immunosuppression.