Simultaneous Minimally Invasive Surgery in a Patient with Lung Cancer and Coronary Artery Disease

A 77-year-old woman with aggravating chest pain for a month visited our outpatient clinic. Nearly occluded left anterior descending coronary artery and right lower lobe nodule suggesting lung cancer were identified in coronary angiogram and computed tomogram, respectively. To minimize postoperative complication, simultaneous robot-assisted minimally invasive coronary artery bypass grafting (CABG) and video-assisted thoracoscopic surgery (VATS) of right lower lobectomy were performed. Postoperative course was uneventful except transient atrial fibrillation. The patient was discharged on the 8 th postoperative day. Simultaneous minimally invasive CABG and VATS lobectomy instead of median sternotomy and thoracotomy approach could be a safer treatment option for concurrent coronary artery disease and lung cancer in high-risk patients.