Simultaneous Operation on Pump Coronary Bypass Grafting and Left Hemicolectomy in Patient with Reduced Ejection Fraction

Mammana Liboro Francesco,Ceresa Fabrizio,Rubino Antonino Salvatore,Francesco Patane,De Donno Filomena Bruna

doi:10.37871/jbres1404

Abstract

This is written so as to report the case of a 75-year-old male with a diagnosis of sigmoid adenocarcinoma accompanied by critical coronary artery disease and angina, which was subject to simultaneous surgical treatment. Was performed first an on – pump coronary artery revascularization and then a left colectomy. Our case suggests that performing an on-pump bypass in patient also with reduced ejection fraction procedure prior to cancer surgery can be a safe surgical in appropriately selected cases.

Highlights

The prevalence of cardiovascular disease and malignant disease has been increasing since the average lifespan has especially lengthened in the developed countries [1]
This is written so as to report the case of a 75-year-old male with a diagnosis of sigmoid adenocarcinoma accompanied by critical coronary artery disease and angina, which was subject to simultaneous surgical treatment
The recent advances in anaesthesia, surgical techniques and perioperative management have allowed for combined operations to be conducted, so several studies have validated the concept that a simultaneous operation can be safely performed in a limited population of patients

Summary

INTRODUCTION

The prevalence of cardiovascular disease and malignant disease has been increasing since the average lifespan has especially lengthened in the developed countries [1]. Patients with both cardiovascular disease that requires surgery and a surgically respectable malignancy are treated in a staged procedure depending on the clinical priority. We are describing the simultaneous surgical procedure of a patient with left colon cancer combined with severe coronary artery disease. Simultaneous Operation on Pump Coronary Bypass Grafting and Left Hemicolectomy in Patient with Reduced Ejection Fraction. The recent loss of weight and the persistent severe anaemia despite of the blood transfusions suggested that you performed gastroscopy and colonscopy that revealed the presence of a voluminous neoplasia of the left colon (Figures 1,2). We subtracted via a subumbilical incision the diseased colon by a lower anterior recto-sigmoidal resection. He was admitted to the intensive care unit with low inotropic support. He was transferred to a ward the following day and was discharged, on the 7th postoperative day after an uneventful course (Figure 3)

DISCUSSION

Findings

CONCLUSION