Atilla ORHAN, Ömer TANYELİ, Niyazi GÖRMÜŞ

Eş Zamanlı Kalp Cerrahisi ve Pulmoner Hamartom Rezeksiyonu: Olgu Sunumu

Kalp ve akciğerin eşlik eden lezyonları nadirdir, ancak mevcut olduklarında cerrahlar için terapötik bir zorluk oluştururlar. Kombine bir prosedür, sonuçları iyileştirerek ve ekonomik faydalar sağlayarak ikinci bir ana prosedüre olan ihtiyacı ortadan kaldırır. Ancak kardiyopulmoner baypas, maligniteden şüphelenildiğinde pulmoner kitlelerin doğal seyrini olumsuz etkileyebilir. Bu şüphelerin önüne geçmek için uygun hastalarda off-pump teknikler tercih edilebilir. Bu makalede preoperatif hazırlık sırasında akciğerde kitle tespit edilen 53 yaşındaki erkekte eş zamanlı off-pump koroner arter baypas greftleme ve pulmoner hamartom rezeksiyonu yaptığımız bir olguyu sunuyoruz.

Anahtar Kelimeler:

Off-pump, koroner baypas, hamartom

Concomitant Heart Surgery with Pulmonary Hamartoma Resection: A Case Report

Concomitant lesions of the heart and lung are rare, but when present, they pose a therapeutic challenge to surgeons. A combined procedure clears the need for a second major procedure, improving outcomes and providing economic benefits. However, cardiopulmonary bypass may adversely affect the natural history of pulmonary masses when malignancy is suspected. To avoid these suspects, off-pump techniques may be preferred in suitable patients. This article presents a case of simultaneous off-pump coronary artery bypass grafting and pulmonary hamartoma resection in a 53-year-old man who detected a lung mass during preoperative preparation.

Keywords:

Off-pump, coronary artery bypass grafting, hamartoma,

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1. Zhang R, Wiegmann B, Fischer S, et al. Simultaneous cardiac and lung surgery for incidental solitary pulmonary nodule: learning from the past. The Thoracic and cardiovascular surgeon. 2012;60(02):150-5.
2. Šantavý P, Szkorupa M, Bohanes T, Lonský V. Simultaneous cardiac surgery with pulmonary resection. Cor et Vasa. 2015;57(2):e82-e5.
3. Dalton Jr ML, Parker TM, Mistrot JJ, Bricker DL. Concomitant coronary artery bypass and major noncardiac surgery. The Journal of Thoracic and Cardiovascular Surgery. 1978;75(4):621-4.
4. Girardet R, Masri Z, Lansing A. Pulmonary lesions in patients undergoing open heart surgery: approach and management. The Journal of the Kentucky Medical Association. 1981;79(10):645-8.
5. Johnson JA, Landreneau RJ, Boley TM, et al. Should pulmonary lesions be resected at the time of open heart surgery? The American surgeon. 1996;62(4):300-3.
6. Haberal MA, Dikis OS, Erkan A. Pulmonary hamartoma: Retrospective analysis of 24 cases. Dicle Tıp Dergisi. 2019;46(1):27-32.
7. Bini A, Grazia M, Petrella F, Chittolini M. Multiple chondromatous hamartomas of the lung. Interactive Cardiovascular and Thoracic Surgery. 2002;1(2):78-80.
8. Alqahtani YA, Fallatah RZ, Alnaimi M. Incidental Benign Giant Pulmonary Chondroid Hamartoma. Journal of Oncology Research Reviews & Reports SRC/JONRR-150 DOI: https://doi org/1047363/JONRR/2021 (2). 2021;146:2-3.
9. Ueki C, Miyata H, Motomura N, et al. Off-pump versus on-pump coronary artery bypass grafting in patients with left ventricular dysfunction. The Journal of thoracic and cardiovascular surgery. 2016;151(4):1092-8.
10. Knaepen P, Van Swieten H, Vanderschueren R, Ernst J, Van den Bosch J. Concomitant open heart surgery and pulmonary resection for lung cancer. European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery. 1995;9(6):310-3; discussion 3.
11. Rao V, Todd TR, Weisel RD, et al. Results of combined pulmonary resection and cardiac operation. The Annals of thoracic surgery. 1996;62(2):342-7.
12. Tourmousoglou CE, Apostolakis E, Dougenis D. Simultaneous occurrence of coronary artery disease and lung cancer: what is the best surgical treatment strategy? Interactive cardiovascular and thoracic surgery. 2014;19(4):673-81. 13. Habal P, Simek J, Lonsky V, Novotny J. Possibilities of combined surgical treatment of lung tumours and heart diseases. ACTA MEDICA-HRADEC KRALOVE-. 2006;49(3):175.
14. Minami Y, Iijima T, Yamamoto T, et al. Diffuse pulmonary hamartoma: a case report. Pathology-Research and Practice. 2005;200(11-12):813-6.