SIMULTANEOUS CORONARY BYPASS AND ESOPHAGECTOMY IN PATIENTS WITH ESOPHAGEAL TUMOR

Abstract

HighlightsThe article presents data on international practices regarding simultaneous coronary bypass surgery and esophagectomy. There are very few works devoted to this topic in the literature, whereas such patients can show up unexpectedly but cannot safely undergo multiple procedures. Studying the international practices will allow specialists to make the right decision in each individual case. AbstractCoronary heart disease (CHD) remains the leading cause of death from cardiovascular disease, accounting for nearly 50% of deaths. However, recent data show a significant change in the composition of patients with CHD: patients with a concomitant diagnosis of esophageal cancer, a disease for which a new generation of novel immune and targeted therapies has altered and significantly increased life expectancy, predominate. However, the treatment algorithm for such patients is not fully known. If myocardial revascularization is performed first, radical surgery regarding the tumor will be delayed. If first to perform surgical intervention on the esophagus, then the number of complications increases, which according to some authors is 30–40 times higher than in patients without cardiac disease. One-stage intervention and simultaneous surgery allows to avoid such problems. This article summarizes the world experience of such interventions.