Why the study?
Is simultaneous off-pump coronary artery bypass grafting and colectomy a feasible approach in patients with concurrent severe coronary artery disease and colon cancer?
Is simultaneous off-pump coronary artery bypass grafting and colectomy a feasible approach in patients with concurrent severe coronary artery disease and colon cancer?
Simultaneous off-pump coronary artery bypass grafting and colectomy may be a feasible and safe approach for patients presenting with concurrent severe coronary artery disease and colon cancer.
May support staged off-pump CABG before cancer surgery in select cases; hypothesis-generating and requires prospective validation.
This is written so as to report the case of a 71-year-old male with a diagnosis of sigmoid adenocarcinoma accompanied by severe coronary artery disease and unstable angina, which was subject to simultaneous surgical treatment. The patient initially underwent an off-pump coronary artery revascularization in order to avoid the complications of cardiopulmonary bypass, providing the opportunity of a colectomy at the same time with the use of safe surgical means. Our case suggests that performing an off-pump bypass procedure prior to cancer surgery can be an appropriate course of action in carefully selected cases.
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Dedeilias et al. (2010) studied this question.
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