Stage-II thymoma and emergency coronary artery bypass. To irradiate or not to irradiate to avoid radiation induced vascular injury? Case report and literature review.

摘要: PURPOSE The purpose of this study was to present the controversial role adjuvant radiotherapy a 72-year-old male patient with Masaoka stage II thymoma and coronary artery bypass review relevant literature. METHODS data were collected by studies on PubMed EMBASE. Articles up March 2017 included. RESULTS Although radiation-induced vascular injury internal thoracic its suitability for grafting in who is candidate documented, possible catastrophic effect existing grafts prior surgery has not been fully investigated. CONCLUSION application R0 currently considered 2B level evidence but potential occlusive an underlying graft may dramatically affect survival accordingly drop use.