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Open Access Research

Three-dimensional computed tomography angiography for the preoperative evaluation of coronary artery disease in lung cancer patients

Fumiaki Watanabe1, Osamu Hataji1, Kentaro Ito1, Corina N D’Alessandro-Gabazza3, Masahiro Naito1, Hideo Morooka3, Esteban C Gabazza4*, Yukio Mizutani2, Maki Ohi2, Motoshi Takao5, Hideto Shimpo5 and Isao Yada1

Author Affiliations

1 Respiratory Center, Matsusaka Municipal Hospital, Tonomachi 1550, Matsusaka City, Mie 515-8544 Japan

2 Department of Radiology, Matsusaka Municipal Hospital, Tonomachi 1550, Matsusaka City, Mie 515-8544 Japan

3 Department of Cardiovascular Medicine, Matsusaka Municipal Hospital, Tonomachi 1550, Matsusaka City, Mie 515-8544 Japan

4 Department of Immunology, Mie University Faculty and Graduate School of Medicine, Edobashi 2-174Mie 514-8507 Tsu City, Japan

5 Department of General Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2-174 EdobashiMie 514-8507 Tsu City, Japan

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World Journal of Surgical Oncology 2013, 11:164  doi:10.1186/1477-7819-11-164

Published: 20 July 2013

Abstract

Background

The number of elderly patients undergoing surgery for lung cancer is increasing. In this study, we assessed the usefulness of three-dimensional computed tomographicangiography (3D-CTA) for the detection of coronary disease in the elderly before surgical intervention for lung cancer.

Methods

One hundred twenty patients admitted to our institution for lung cancer resection were enrolled in the study. 3D-CTA was performed in all 120 patients.

Results

Seventy-one patients had normal findings, and forty-nine patients showed coronary stenosis on 3D-CTA examination. Among the latter 49 patients, 24 with slight stenosis underwent lung tumor resection, 23 had coronary angiography for severe stenosis before lung surgery and 2 were not eligible for lung resection because of very severe coronary stenosis. The diagnostic value of 3D-CTA was better than conventional CT.

Conclusions

This study suggests the usefulness of 3D-CTA for the preoperative diagnosis of coronary ischemic disease in elderly lung cancer patients.

Keywords:
Aging; Coronary ischemic disease; Lung cancer; Surgery