Simultaneous operation for cardiac disease and gastrointestinal malignancy

Table 1 Preoperative characteristics

No.	Age (yr)	Sex	Cardiac disease	EF (%)	Gastrointestinal cancer		Comorbidities
					Type	Stage
1	63	F	MS + LA thrombus	69	Gastric	IB	CVD
2	73	F	MR + TR	78	Gastric	IA	-
3	78	M	CAD (LMT)	61	Colon (T)	IIIB	-
4	76	M	CAD (2)1	47	Colon (D)	II	DM
5	61	M	MS + LA thrombus	65	Gastric	IA	CRF (HD)
6	81	M	AS	78	Gastric	IA	-
7	66	M	CAD (3)	65	Gastric	IA	CVD
8	62	M	CAD (3)	70	Gastric	II	CVD, DM
9	85	M	AS	64	Gastric	II	COPD
10	72	F	CAD (3)	36	Gastric	IA	-
11	76	M	CAD (2)	55	Gastric	IA	-
12	73	M	CAD (LMT)	54	Gastric	IA	CRF
13	65	M	CAD (3)	60	Colon (C)	IV	Liver metastasis
14	79	F	AS	81	Gastric	IB	-
15	74	M	AS	71	Colon (S)	IIIB	-

¹Parenthetic figure shows number of involved coronary artery. EF: Ejection fraction; CVD: Cerebrovascular disease; DM: Diabetis mellitus; CRF: Chronic renal failure; LMT: Left main trunk disease; HD: Hemodialysis; COPD: Chronic obstructive pulmonary disease; T: Transverse; D: Descending; C: Cecum; S: Sigmoid; CAD: Coronary artery disease; AS: Aortic stenosis; MS: Mitral stenosis; TR: Tricuspid regurgitation; MR: Mitral regurgitation; LA: Left atrial.

Table 2 Surgical procedures and results

No.	Cardiac procedures	Abdominal procedures	Postoperative complications	Follow-up (mo)	Results	Causes of death
1	MVR + TAP	Total gastrectomy	-	81	Dead	Cancer recurrence
2	MVR + TAP	Distal gastrectomy	-	135	Dead	Renal failure
3	CABG (2)	Right hemicolectomy	-	150	Alive	-
4	CABG (3)	Left hemicolectomy	-	53	Dead	Cancer recurrence
5	MVR	Partial gastrectomy	-	84	Dead	Suffocated
6	AVR	Distal gastrectomy	-	90	Alive	-
7	OPCAB (4)	Distal gastrectomy	-	72	Alive	-
8	OPCAB (5)	Distal gastrectomy	-	84	Alive	-
9	AVR	Distal gastrectomy	Bleeding	2	Dead	Respiratory failure
10	CABG (4)	Distal gastrectomy	Cerebral infarction	28	Alive	-
11	OPCAB (2)	Distal gastrectomy	-	25	Alive	-
12	OPCAB (3)	Distal gastrectomy	Aspiration pneumonia	21	Alive	-
13	OPCAB (3)	Ileocecal resection	-	17	Dead	Liver failure
14	AVR	Total gastrectomy	Bleeding	8	Alive	-
15	AVR	Sigmoidectomy	Hyperbilirubinmia	3	Alive	-

CABG: Coronary artery bypass grafting; AVR: Aortic valve replacement; OPCAB: Off-pump coronary artery bypass grafting; CABG: Coronary artery bypass grafting; MVR: Mitral valve replacement; TAP: Tricuspid annuloplasty.