Key result
Concomitant minimally invasive aortic valve replacement and VATS right upper lobectomy via right mini-thoracotomy was successfully performed, leading to an uneventful recovery and hospital discharge at 12 days.
Why the study?
Cases of aortic valve stenosis complicated with lung cancer present challenging decisions for cardiovascular surgeons.
Case Report (n=1)
No
Concomitant minimally invasive aortic valve replacement and right lobectomy via right mini-thoracotomy is a feasible and potentially less invasive option for patients with severe aortic stenosis complicated by right lung cancer.
Answers are grounded in this paper and cite their sources.
May support feasibility of combined minimally invasive AVR and VATS lobectomy in select cases; leaves open safety and efficacy in larger cohorts.
BACKGROUND: The case of aortic valve stenosis complicated with lung cancer have compelled cardiovascular surgeons to make challenging. We report the first successful short-term outcomes of one-stage minimally invasive aortic valve replacement and video-assisted thoracoscopic surgery lobectomy through right mini-thoracotomy in a patient with synchronous bicuspid severe aortic valve stenosis which was unsuitable for transcatheter aortic valve implantation and right lung cancer. CASE PRESENTATION: A 76-year-old man with severe aortic valve stenosis was diagnosed with lung cancer of the right upper lobe with stage IA2. Considering the potential risk of tumor metastasis, a one-stage surgical therapy for right lung cancer and type 0 bicuspid aortic valve stenosis was required; however, transcatheter aortic valve implantation was unsuitable due to a bicuspid aortic valve with severe calcification. Therefore, concomitant minimally invasive aortic valve replacement and lobectomy via right mini-thoracotomy were performed. The postoperative course was uneventful. CONCLUSION: Concomitant aortic valve replacement and right lobectomy via right mini-thoracotomy may reduce surgical invasiveness, leading to early recovery. This surgical strategy is a useful option, particularly for patients with aortic valve stenosis complicated with right lung cancer.
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Sakakibara et al. (2022) conducted a case report in Severe aortic valve stenosis and right lung cancer (n=1). Concomitant minimally invasive aortic valve replacement and VATS lobectomy via right mini-thoracotomy was evaluated on Surgical success and postoperative recovery. Concomitant minimally invasive aortic valve replacement and VATS right upper lobectomy via right mini-thoracotomy was successfully performed, leading to an uneventful recovery and hospital discharge at 12 days.
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