Background: The concomitant occurrence of lung cancer
or other thoracic problems requiring surgical treatment in patients
with significant coronary artery disease is uncommon.
Methods: Three patients underwent revascularization of the
anterior descending artery, without cardiopulmonary bypass, with
simultaneous pulmonary lobectomy (two patients) or replacement of an
obstructed descending aortic graft (one patient).
Results: Postoperative ventilation time was < 3 h, and no
morbidity related to the combined procedure occurred during midterm
Conclusions: This one-stage approach
allowed the immediate solution of two intrathoracic comorbidities,
reducing expenses and suffering to the patients and minimizing the risk
of bleeding or tumor dissemination secondary to extracorporeal
circulation-induced coagulopathy and