Multidisciplinary approach in resection of stage IIIA lung cancer with severe aortic stenosis: A case report
Patrick Deniz Hurley,
Fatima Ali,
Savvas Lampridis,
Sarah Tian,
Puchakayala Madhusudan,
Karen Harrison-Phipps,
Cheng Ong
Affiliations
Patrick Deniz Hurley
Department of Thoracic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom; Corresponding author. Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, London, SE1 9RT, United Kingdom.
Fatima Ali
Department of Thoracic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
Savvas Lampridis
Department of Thoracic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
Sarah Tian
Department of Anaesthetics, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
Puchakayala Madhusudan
Department of Anaesthetics, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
Karen Harrison-Phipps
Department of Thoracic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
Cheng Ong
Department of Anaesthetics, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
Thoracic surgery in the context of complex multimorbidity and clinical deterioration presents a unique set of challenges when balancing risk and benefit. Advances in anaesthesia, surgical technique, and imaging, have allowed for operative options for patients that were once deemed too high-risk. An effective proactive multi-disciplinary approach is essential for successful outcomes. We report the case of a 65-year-old patient with a background of severe aortic stenosis who underwent lung resection for stage IIIA lung cancer, where pivotal multi-disciplinary team input from the anaesthetic, surgery, critical care and radiology teams, clarified the cause of his clinical deterioration, contributed to decisions over his management and ensured a good clinical outcome.