Abstract
This is written so as to report the case of a 71-year-old male with a diagnosis of sigmoid adenocarcinoma accompanied by severe coronary artery disease and unstable angina, which was subject to simultaneous surgical treatment. The patient initially underwent an off-pump coronary artery revascularization in order to avoid the complications of cardiopulmonary bypass, providing the opportunity of a colectomy at the same time with the use of safe surgical means. Our case suggests that performing an off-pump bypass procedure prior to cancer surgery can be an appropriate course of action in carefully selected cases.
Highlights
Up to now, patients being surgically treated at the same time for two non related reasons was not a common practice in medicine
We are describing the simultaneous surgical procedure of a patient with hemorrhagic left colon cancer combined with severe coronary artery disease
It is of great importance to mention that late complications of extracorporeal circulation contribute indirectly to the expansion of the existing malignancy according to the international bibliography [1,2,3]
Summary
Patients being surgically treated at the same time for two non related reasons was not a common practice in medicine. There is some skepticism regarding the effect of the extracorporeal circulation (ECC) on the expansion of the coexisting malignancy When both pathologies are acute, sometimes there is not adequate time to spend on deciding which disease calls for more immediate action. We are describing the simultaneous surgical procedure of a patient with hemorrhagic left colon cancer combined with severe coronary artery disease. Case Report A 71-year-old man was admitted to the intensive care unit of our hospital with chest pain, progressive dyspnoea and bleeding from the left colon. His medical history pointed out that a month ago he suffered from an acute myocardial infarction treated conservatively without any intervention. Histopathological findings were indicative of a well-differentiated intramucosal intestinal adenocarcinoma with multiple non infiltrated lymph nodes (Classification according to WHO: T1N0M0, Stage A according to Duke)
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
