Simultaneous cardiac and noncardiac surgeries resulted in a hospital mortality rate of 3.1% and a total operative morbidity of 17.2%, with a mean survival time of 116.2 months.
Cohort (n=64)
Does simultaneous cardiac and noncardiac surgery result in acceptable mortality and morbidity in patients with both cardiac and noncardiac diseases?
Simultaneous cardiac and noncardiac surgeries are feasible and safe, offering satisfactory short- and long-term survival for patients with concurrent diseases.
BACKGROUND: To investigate the possibility and feasibility of simultaneous cardiac and noncardiac surgery. METHODS: From August 2000 to March 2015, 64 patients suffering from cardiac and noncardiac diseases have been treated by simultaneous surgeries. RESULTS: Two patients died after operations in hospital; thus, the hospital mortality rate was 3.1%. One patient with coronary heart disease, acute myocardial infarction, and a recurrence of bladder cancer accepted emergency simultaneous coronary artery bypass grafting (CABG), bladder cystectomy, and ureterostomy. He died of acute cerebral infarction complicated with multiple organ failure on the 153rd day after operation. The other patient with chronic constrictive pericarditis and right lung cancer underwent pericardial stripping and right lung lower lobectomy, which resulted in multiple organ failure, and the patient died on the tenth day postoperatively. The remaining 62 patients recovered and were discharged. The total operative morbidity was 17.2%: postoperative hemorrhage (n, % 1, 1.6%), pulmonary infection and hypoxemia (2, 3.1%), hemorrhage of upper digestive tract (1, 1.6%), incisional infection (3, 4.7%), subphrenic abscess (1, 1.6%), and postoperative acute renal failure and hemofiltration (3, 4.7%). Of the 62 patients discharged, 61 patients were followed up. Eleven patients died with 10 months to 10 years during the follow-up. The mean survival time is 116.2±12.4 months. The cumulative survival rate is 50.8%. CONCLUSION: Simultaneous surgeries in patients suffering from both cardiac and noncardiac benign or malignant diseases are safe and possible with satisfactory short-term and long-term survival.
Yang et al. (Fri,) conducted a cohort in Cardiac and noncardiac diseases (n=64). Simultaneous cardiac and noncardiac surgery was evaluated on Hospital mortality rate. Simultaneous cardiac and noncardiac surgeries resulted in a hospital mortality rate of 3.1% and a total operative morbidity of 17.2%, with a mean survival time of 116.2 months.