Key result
Simultaneous beating-heart OPCAB and mastectomy proves feasible in severe coronary disease with breast cancer.
Why the study?
The surgical management of breast cancer in patients with coronary artery disease requires balancing oncological treatment and cardiovascular stability, presenting significant challenges.
Is simultaneous off-pump coronary artery bypass grafting and mastectomy feasible in a patient with concurrent breast cancer and severe coronary artery disease?
Case Report (n=1)
Is simultaneous off-pump coronary artery bypass grafting and mastectomy feasible in a patient with concurrent breast cancer and severe coronary artery disease?
Simultaneous off-pump coronary artery bypass grafting and mastectomy is a feasible surgical approach for patients with concurrent severe coronary artery disease and breast cancer, highlighting the importance of multidisciplinary team collaboration.
Supports feasibility of simultaneous off-pump CABG and mastectomy in select patients; leaves open need for prospective data before wider adoption.
The surgical management of breast cancer in patients with coronary artery disease presents significant challenges, requiring a balance between oncological treatment and cardiovascular stability. A woman in her 70s was diagnosed with breast cancer after imaging identified a right breast lesion confirmed as papillary ductal carcinoma in situ on tru-cut biopsy. Following discussion at the multidisciplinary team (MDT) meeting, the consensus recommendation was mastectomy with sentinel lymph node biopsy. During the preoperative anaesthesia evaluation, cardiology consultation was obtained, and coronary angiography revealed severe stenosis of the left anterior descending and right coronary arteries. Given the patient’s cardiovascular status, an MDT decision was made to perform simultaneous off-pump coronary artery bypass grafting and mastectomy using a beating-heart technique. This case highlights the challenges of managing complex comorbidities in patients with cancer and demonstrates the role of MDT collaboration in achieving optimal surgical outcomes.
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Abbasoglu et al. (2026) conducted a case report in Breast cancer and coronary artery disease (n=1). Simultaneous off-pump coronary artery bypass grafting and mastectomy was evaluated. Simultaneous off-pump coronary artery bypass grafting and mastectomy using a beating-heart technique was successfully performed in a patient with breast cancer and severe coronary artery disease.
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