Why the study?
Can lobectomy be safely performed in patients with lung cancer and a severe history of ischemic heart disease using specific hemodynamic monitoring and anesthesia?
Can lobectomy be safely performed in patients with lung cancer and a severe history of ischemic heart disease using specific hemodynamic monitoring and anesthesia?
Lobectomy can be performed safely in high-risk patients with severe ischemic heart disease using careful hemodynamic monitoring and appropriate anesthesia.
Lobectomy was performed in two patients with lung cancer and a history of myocardial infarction.One of them had experienced two attacks of myocardial infarction with 100% obstruction of the three coronary arteries : right coronary artery, left anterior descending artery, and circumflex artery.The other patient had experienced myocardial infarction two months before lobectomy.In both cases a thermo-dilution catheter with a V-pacing probe was introduced the day before the thoracic operation and the patient's hemodynamic condition was observed throughout the operative and postoperative periods.Lobectomy was performed under phentanyl and pure oxygen anesthesia.No attacks of ischemic heart disease were noted throughout the operative and postoperative periods.
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Itoi et al. (1988) studied this question.
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