Stage treatment of cardiac surgical patients with an identified oncological pathology. Clinical cases

The problem of treating patients suffering from severe cardiovascular diseases and tumors of various locations remains unsolved in oncology. Even specialists from multidisciplinary centers encounter difficulties, the main of which are: deciding on simultaneous or staged treatment, determining the staging of interventions, the timing of their implementation, preoperative preparation and treatment in the postoperative period. For the most part, the category of patients of senile age is presented, with a considerable set of concomitant chronic and acute diseases of varying degrees of compensation. A significant number of cancer patients suffering from severe cardiovascular disease are treated in our multidisciplinary center. In this connection, we would like to share some experience in this area. Two clinical cases are presented in the article: treatment of a patient with a stenotic tumor of the sigmoid colon against the background of acute infectious endocarditis and the next treatment of a patient with malignant colon, aortic valve disease and stenosing lesion of the brachiocephalic arteries...