Minimally invasive beating heart full coronary artery bypass in a patient with pancreatic ductal adenocarcinoma

Year 2019, Volume: 5 Issue: 5, 913 - 915, 04.09.2019

Mazlum Şahin

https://doi.org/10.18621/eurj.431204

Abstract

There are various problems associated with cardiopulmonary bypass in
cardiac operations of patients with cancer. Our patient was a 73-year-old male
patient diagnosed with pancreatic ductal adenocarcinoma. Coronary angiography
of the patient who was planned to undergo tumor surgery revealed severe
anomalies extending to the proximal of the diagonal 1 at the left anterior
descending artery osteal and diagonal 1 distinction. Minimally invasive off-pump
direct coronary artery bypass was performed in the patient. The patient was
discharged on the 4^th postoperative day and he was operated with the
cause of pancreatic cancer at the third week. We think that minimally invasive
coronary bypass without cardiopulmonary bypass can be performed with delayed
prevention of cancer treatment and faster healing in patients with cancer of
various systems. 

Keywords

Coronary artery disease, cancer, minimally invasive direct coronary artery bypass, beating heart coronary bypass

References

• [1] Hirose H, Amano A, Yoshida S, Nagao T, Sunami H, Takahashi A, et al. Coronary artery bypass grafting in patient with malignant neoplasm. Efficacy of coronary artery bypass grafting on beating heart. Jpn J Thorac Cardiovasc Surg 2000;48:96-100.
• [2] Åkerberg D, Ansari D, Andersson R. Re-evaluation of classical prognostic factors in resectable ductal adenocarcinoma of the pancreas. World J Gastroenterol 2016;22:6424-33.
• [3] Tanaka H, Narisawa T, Hirano J, Suzuki T, Takaba T. Efficacy of off-pump coronary artery bypass grafting in patients requiring noncardiac operations. Kyobu Geka 2001;54:1107-11.
• [4] Petrova VV, Osipova NA, Donakova IS, Edeleva NV, Kudriavtsev SB. [Choice of treatment strategy for a patient with rectal cancer and severe concomitant disease (İHD)]. Anesteziol Reanimatol 2001;5:73. [Article in Russian]
• [5] Darwazah AK, Osman M, Sharabati B. Use of off-pump coronary artery bypass surgery among patients with malignant disease. J Card Surg 2010;25:1-4.
• [6] Krone RJ. Managing coronary artery disease in the cancer patient. Prog Cardiovasc Dis 2010;53:149-56.
• [7] Kałuza GL, Joseph J, Lee JR, Raizner ME, Raizner AE. Catastrophic outcomes of noncardiac surgery soon after coronary stenting. J Am Coll Cardiol 2000;35:1288-94.
• [8] Holzhey DM, Jacobs S, Mochalski M, Walther T, Thiele H, Mohr FW, et al. Seven-year follow-up after minimally invasive direct coronary artery bypass: experience with more than 1300 patients. Ann Thorac Surg 2007;83:108-14.