Mitropoulos Fotios, Kanakis Meletios A, Apostolou Anastasios, Chatzis Andrew, Contrafouris Constantinos, Apostolidis Christos, Lioulias Achilleas
Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Kallithea, 17674 Athens, Greece.
Department of Thoracic Surgery, Sismanoglio General Hospital, Marousi, 15126 Athens, Greece.
Case Rep Surg. 2016;2016:8760849. doi: 10.1155/2016/8760849. Epub 2016 Mar 2.
Management in patients with coexisting coronary artery disease and lung carcinoma is usually a two-stage operation, with the cardiac surgery procedure followed by pulmonary resection at a later time. Delayed tumor resection on the other hand may be detrimental. Off-pump coronary artery bypass grafting could facilitate concomitant lung resection at one stage via median sternotomy. T-bar retractor may be a useful tool in the surgical approach of this combined operation.