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Combined Cardiac and Thoracic Surgery

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Cardiac Surgery

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Abstract

The simultaneous development of cardiac and thoracic surgery in the 1940s and 1950s, combined with the fact that many surgeons are trained to perform cardiac and thoracic operations, has naturally led to the performance of simultaneous cardiac and pulmonary operations. However, these procedures are uncommon owing to theoretical concerns regarding the adverse effects of combining the operations. No general agreement exists as to how such operations should be organized and conducted. There appears to be an increase in both operative mortality and surgical morbidity for combined operations compared to isolated cardiac and thoracic operations. Staged, rather than combined, surgery may provide a cancer-specific survival benefit.

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References

  • Ahmed AA, Sarsam MA (2001) Off-pump combined coronary artery bypass grafting and left upper lobectomy through left posterolateral thoracotomy. Ann Thorac Surg 71(6):2016–2018

    Article  CAS  PubMed  Google Scholar 

  • Akchurin RS, Davidov MI, Partigulov SA, Brand JB, Shiriaev AA, Lepilin MG, Dolgov IM (1997) Cardiopulmonary bypass and cell-saver technique in combined oncologic and cardiovascular surgery. Artif Organs 21(7):763–765

    Article  CAS  PubMed  Google Scholar 

  • Boldt J, Kumle B, Papsdorf M, Hempelmann G (1998) Are circulating adhesion molecules specifically changed in cardiac surgical patients? Ann Thorac Surg 65(3):608–614

    Article  CAS  PubMed  Google Scholar 

  • Brutel de la Rivière A, Knaepen P, Van Swieten H, Vanderschueren R, Ernst J, Van den Bosch J (1995) Concomitant open heart surgery and pulmonary resection for lung cancer. Eur J Cardiothorac Surg 9(6):310–314

    Article  PubMed  Google Scholar 

  • Cathenis K, Hamerlijnck R, Vermassen F, Van Nooten G, Muysoms F (2009) Concomitant cardiac surgery and pulmonary resection. Acta Chir Belg 109(3):306–311

    Article  CAS  PubMed  Google Scholar 

  • Chen Q, Ge F, Cui W, Wang F, Yang Z, Guo Y, Li L, Bremner RM, Lin PP (2013) Lung cancer circulating tumor cells isolated by the EpCAM-independent enrichment strategy correlate with Cytokeratin 19-derived CYFRA21–1 and pathological staging. Clin Chim Acta 419C:57–61

    Article  Google Scholar 

  • D’Andrilli A, Venuta F, Rendina EA (2012) The role of lymphadenectomy in lung cancer surgery. Thorac Surg Clin 22(2):227–237

    Article  PubMed  Google Scholar 

  • Danton MH, Anikin VA, McManus KG, McGuigan JA, Campalani G (1998) Simultaneous cardiac surgery with pulmonary resection: presentation of series and review of literature. Eur J Cardiothorac Surg 13(6):667–672

    Article  CAS  PubMed  Google Scholar 

  • De Leyn P, Lardinois D, Van Schil P, Rami-Porta R, Passlick B, Zielinski M, Waller D, Lerut T, Weder W, ESTS (2007) European trends in preoperative and intraoperative nodal staging: ESTS guidelines. J Thorac Oncol 2(4):357–361

    Article  PubMed  Google Scholar 

  • Dyszkiewicz W, Jemielity M, Piwkowski C, Kasprzyk M, Perek B, Gasiorowski L, Kaczmarek E (2008) The early and late results of combined off-pump coronary artery bypass grafting and pulmonary resection in patients with concomitant lung cancer and unstable coronary heart disease. Eur J Cardiothorac Surg 34(3):531–535

    Article  PubMed  Google Scholar 

  • Ellis MC, Diggs BS, Vetto JT, Schipper PH (2011) Intraoperative oncologic staging and outcomes for lung cancer resection vary by surgeon specialty. Ann Thorac Surg 92(6):1958–1964

    Article  PubMed  Google Scholar 

  • Farjah F, Flum DR, Varghese TK Jr, Symons RG, Wood DE (2009) Surgeon specialty and long-term survival after pulmonary resection for lung cancer. Ann Thorac Surg 87(4):995–1006

    Article  PubMed  Google Scholar 

  • Hasegawa S, Otake Y, Bando T, Cho H, Inui K, Wada H (2002) Pulmonary dissemination of tumor cells after extended resection of thyroid carcinoma with cardiopulmonary bypass. J Thorac Cardiovasc Surg 124(3):635–636

    Article  PubMed  Google Scholar 

  • Johnson JA, Landreneau RJ, Boley TM, Haggerty SP, Hattler B, Curtis JJ, Hazelrigg SR (1996) Should pulmonary lesions be resected at the time of open heart surgery? Am Surg 62(4):300–303

    CAS  PubMed  Google Scholar 

  • Kauffmann M, Krüger T, Aebert H (2013) Surgery on extracorporeal circulation in early and advanced non-small cell lung cancer. Thorac Cardiovasc Surg 61(2):103–108

    Google Scholar 

  • Köksal C, Sarikaya S, Zengin M, Atasalihi A (2002) Combined off-pump coronary revascularization and lung resection. Acta Med (Hradec Kralove) 45(3):119–121

    Article  Google Scholar 

  • La Francesca S, Frazier OH, RadovancÄ•vić B, De Caro LF, Reul GJ, Cooley DA (1995) Concomitant cardiac and pulmonary operations for lung cancer. Tex Heart Inst J 22(4):296–300

    PubMed  PubMed Central  Google Scholar 

  • Lardinois D, De Leyn P, Van Schil P, Porta RR, Waller D, Passlick B, Zielinski M, Lerut T, Weder W (2006) ESTS guidelines for intraoperative lymph node staging in non-small cell lung cancer. Eur J Cardiothorac Surg 30(5):787–792

    Article  PubMed  Google Scholar 

  • Miller DL, Orszulak TA, Pairolero PC, Trastek VF, Schaff HV (1994) Combined operation for lung cancer and cardiac disease. Ann Thorac Surg 58(4):989–994

    Article  CAS  PubMed  Google Scholar 

  • Ng CS, Wan S (2012) Limiting inflammatory response to cardiopulmonary bypass: pharmaceutical strategies. Curr Opin Pharmacol 12(2):155–159

    Article  CAS  PubMed  Google Scholar 

  • Nwogu CE, Groman A, Fahey D, Yendamuri S, Dexter E, Demmy TL, Miller A, Reid M (2012) Number of lymph nodes and metastatic lymph node ratio are associated with survival in lung cancer. Ann Thorac Surg 93(5):1614–1620

    Article  PubMed  PubMed Central  Google Scholar 

  • O’Flaherty JD, Gray S, Richard D, Fennell D, O’Leary JJ, Blackhall FH, O’Byrne KJ (2012) Circulating tumour cells, their role in metastasis and their clinical utility in lung cancer. Lung Cancer 76(1):19–25

    Article  PubMed  Google Scholar 

  • Okumura Y, Tanaka F, Yoneda K, Hashimoto M, Takuwa T, Kondo N, Hasegawa S (2009) Circulating tumor cells in pulmonary venous blood of primary lung cancer patients. Ann Thorac Surg 87(6):1669–1675

    Article  PubMed  Google Scholar 

  • Patanè F, Verzini A, Zingarelli E, di Summa M (2002) Simultaneous operation for cardiac disease and lung cancer. Interact Cardiovasc Thorac Surg 1(2):69–71

    Article  PubMed  Google Scholar 

  • Pintar T, Collard CD (2003) The systemic inflammatory response to cardiopulmonary bypass. Anesth Clin N Am 21(3):453–464

    Article  CAS  Google Scholar 

  • Rao V, Todd TR, Weisel RD, Komeda M, Cohen G, Ikonomidis JS, Christakis GT (1996) Results of combined pulmonary resection and cardiac operation. Ann Thorac Surg 62(2):342–347

    Article  CAS  PubMed  Google Scholar 

  • Rosalion A, Woodford NW, Clarke CP, Buxton B (1993) Concomitant coronary revascularization and resection of lung cancer. Aust N Z J Surg 63(5):336–340

    Article  CAS  PubMed  Google Scholar 

  • Schipper PH, Diggs BS, Ungerleider RM, Welke KF (2009) The influence of surgeon specialty on outcomes in general thoracic surgery: a national sample 1996 to 2005. Ann Thorac Surg 88(5):1566–1573

    Article  PubMed  Google Scholar 

  • Schoenmakers MC, van Boven WJ, van den Bosch J, van Swieten HA (2007) Comparison of on-pump or off-pump coronary artery revascularization with lung resection. Ann Thorac Surg 84(2):504–509

    Article  PubMed  Google Scholar 

  • Shahian DM, O’Brien SM, Filardo G, Ferraris VA, Haan CK, Rich JB, Normand SL, DeLong ER, Shewan CM, Dokholyan RS, Peterson ED, Edwards FH, Anderson RP, Society of Thoracic Surgeons Quality Measurement Task Force (2009) The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1—coronary artery bypass grafting surgery. Ann Thorac Surg 88(1 Suppl):S2–S22

    Article  PubMed  Google Scholar 

  • Ulicny KS Jr, Schmelzer V, Flege JB Jr, Todd JC, Mitts DL, Melvin DB, Wright CB (1992) Concomitant cardiac and pulmonary operation: the role of cardiopulmonary bypass. Ann Thorac Surg 54(2):289–295

    Article  PubMed  Google Scholar 

  • Vallejo R, Hord ED, Barna SA, Santiago-Palma J, Ahmed S (2003) Perioperative immunosuppression in cancer patients. J Environ Pathol Toxicol Oncol 22(2):139–146

    Article  PubMed  Google Scholar 

  • Voets AJ, Joesoef KS, van Teeffelen ME (1997) Synchronously occurring lung cancer (stages I–II) and coronary artery disease: concomitant versus staged surgical approach. Eur J Cardiothorac Surg 12(5):713–717

    Article  CAS  PubMed  Google Scholar 

  • Yokoyama T, Derrick MJ, Lee AW (1993) Cardiac operation with associated pulmonary resection. J Thorac Cardiovasc Surg 105(5):912–917

    Article  CAS  PubMed  Google Scholar 

  • Young R, Pailler E, Billiot F, Drusch F, Barthelemy A, Oulhen M, Besse B, Soria JC, Farace F, Vielh P (2012) Circulating tumor cells in lung cancer. Acta Cytol 56(6):655–660

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Mark K. Ferguson MD

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  1. Mark K. Ferguson MD
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Correspondence to Mark K. Ferguson MD .

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Editors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Gerhard Ziemer

  2. HTTG - Surgery, Medizinische Hochschule Hannover, Hannover, Germany

    Axel Haverich

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Ferguson, M.K. (2017). Combined Cardiac and Thoracic Surgery. In: Ziemer, G., Haverich, A. (eds) Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52672-9_34

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  • DOI: https://doi.org/10.1007/978-3-662-52672-9_34

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-52670-5

  • Online ISBN: 978-3-662-52672-9

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