| Concomitant cardiac and pulmonary operations for lung cancer. | |
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MedLine Citation:
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PMID: 8605428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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From 1973 through 1990, 21 patients (17 men and 4 women) underwent concomitant cardiac operation and pulmonary resection for lung cancer. The mean age was 65.3 years (range, 50 to 80 years). Eighteen patients underwent coronary artery bypass; 1 underwent coronary bypass and mitral valve replacement; 1, aortic valve replacement; and 1, left ventricular aneurysmectomy. Pulmonary procedures included 16 lobectomies, 3 segmentectomies, and 2 wedge resections. Nine resections were performed during cardiopulmonary bypass, and 12 were performed either before or after bypass. On final pathologic diagnosis, 11 patients had adenocarcinoma, 7 had squamous cell carcinoma, and 3 had undifferentiated lesions. Twelve patients were in cancer stage 1 and 9 were in stage II. Placement of an intraaortic balloon pump was required in 3 patients. No patient sustained excessive blood loss requiring reoperation. Only 2 incidents (9.5%) of disseminated infection were reported. The overall 1-year survival rate was 90.5% and the 5-year survival rate was 52.4%. We found concomitant cardiac operation and pulmonary resection for lung cancer to be a safe and effective alternative to staged treatment in patients not requiring a pneumonectomy. Combined cardiac and pulmonary surgery spares the patient the risk and cost of a 2nd major surgical procedure without compromising long-term survival. |
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Authors:
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S La Francesca; O H Frazier; B Radovancĕvić; L F De Caro; G J Reul; D A Cooley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 22 ISSN: 0730-2347 ISO Abbreviation: Tex Heart Inst J Publication Date: 1995 |
Date Detail:
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Created Date: 1996-05-17 Completed Date: 1996-05-17 Revised Date: 2010-09-10 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 296-300 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Research, Texas Heart Institute, Houston 77030, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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complications,
surgery Aged Aged, 80 and over Carcinoma, Squamous Cell / complications, surgery Cardiopulmonary Bypass Cardiovascular Diseases / complications*, surgery* Female Humans Lung Neoplasms / complications*, surgery* Male Middle Aged Pneumonectomy Survival Analysis Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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