Simultaneous resection of XXXX following cardiovascular surgery.

@entity1 @entity5 @entity957 @entity2 @entity420 @entity65
BACKGROUND: A @entity2 is occasionally detected on a chest computed tomography (CT) scan before cardiovascular surgery. PURPOSE: In this study, we examined clinical courses of @entity1 who had undergone the simultaneous resection of a @entity2 following cardiovascular surgery. METHODS: From 2008 to 2013, 18 @entity1 (13 @entity1 and 5 @entity1 ) with a median age of 69.8 years underwent the wedge pulmonary resection for a @entity2 through a median thoracotomy following cardiovascular surgery in our hospital. Cardiovascular surgeries consisted of off-pump coronary artery bypass grafting (CABG) in six @entity1 , aortic valve replacement and/or mitral valve plasty in 10 @entity1 , total arch replacement in 10 @entity1 and descending aorta replacement in 10 @entity1 . RESULTS: No complications associated with pulmonary resections were observed. Pathological examination revealed that 15 @entity1 (83.3%) were diagnosed with @entity2 including 13 @entity420 and two @entity957 , with the clinical stages of 1A in 13 @entity1 , 2A in one @entity1 and 2B in one @entity1 . Among them, five @entity1 received the radical pulmonary resection subsequently, whereas 10 @entity1 were unable to receive it due to their poor cardiopulmonary function. Kaplan-Meier analysis of @entity1 with @entity2 revealed that the 5-year survival rate and progression-free survival (PFS) rate after 3 years from the surgery were 46.2% and 73.8%, respectively. CONCLUSION: The simultaneous resection of @entity2 following cardiovascular surgery is safely performed, and is useful for the pathological diagnosis of the @entity5 . Further studies are warranted, however, this procedure may contribute to controlling the progression of @entity2 in @entity1 with @entity65 with comorbidities.
