Li X, et al. – Researchers ascertained the appropriate timing of video–assisted thoracic surgery (VATS) lobectomy after percutaneous coronary intervention (PCI) without increasing perioperative cardiovascular risk. They found that the use of VATS lobectomy in the early postoperative PCI period advanced the timing of surgery, in non-small cell lung cancer (NSCLC) patients with severe coronary heart disease (CHD). In addition, use of VATS lobectomy appeared to control perioperative hemorrhage and CHD event risks within acceptable ranges.

Methods

• Clinical data of patients with a combination of NSCLC and CHD who underwent selective pulmonary lobectomy by VATS in the early postoperative PCI period between 2010 and 2015 at Beijing Chaoyang Hospital, China, were examined.

Results

• VATS lobectomy was administered to fourteen patients after PCI.
• In two patients after PCI, the disease had progressed to T stage.
• This study did not observe any perioperative death.
• Results revealed postoperative atrial fibrillation in two patients: one had a pulmonary infection, and the other had acute coronary syndrome.
• In addition, all patients recovered and were discharged.