grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2020-179-5-75-80grekov-1426Research ArticleНАБЛЮДЕНИЯ ИЗ ПРАКТИКИOBSERVATION FROM PRACTICEРак легкого и аортальный стеноз: одноэтапное хирургическое лечениеLung cancer and aortic stenosis: one-stage surgical treatmenthttps://orcid.org/0000-0002-1823-4396ПечетовА. А.PechetovA. A.

кандидат медицинских наук, зав. отделением торакальной хирургии,

Москва

Cand. of Sci. (Med.), Head of the Department of Thoracic Surgery,

Moscow

pechetov@ixv.ruhttps://orcid.org/0000-0001-6509-566XАлекянБ. Г.AlekyanB. G.

академик РАН, заместитель директора,

Москва

Academician of the RAS, Deputy Director, 

Moscow

alekyan@ixv.ruhttps://orcid.org/0000-0002-3039-1183ЛедневА. Н.LednevA. N.

младший научный сотрудник отделения торакальной хирургии,

Москва

Junior Research Fellow of the Department of Thoracic Surgery,

Moscow

lednev@ixv.ruhttps://orcid.org/0000-0002-0847-0694МаковА. А.MakovM. A.

врач – торакальный хирург отделения торакальной хирургии, 

Москва

Thoracic Surgeon of the Department of Thoracic Surgery, 

Moscow

makov@ixv.ruhttps://orcid.org/0000-0002-7623-8635КарапетянН. Г.KarapetyanN. G.

кандидат медицинских наук, старший научный сотрудник отделения рентгеноэндоваскулярной хирургии,

Москва

Cand. of Sci. (Med.), Senior Research Fellow of the Department of X-ray Endovascular Surgery,

Moscow

karapetyan@ixv.ruhttps://orcid.org/0000-0002-4023-4317ГелецянЛ. Г.GelecyanL. G.

кандидат медицинских наук, врачкардиолог отделения сердечно-сосудистой хирургии,

Москва

Cand. of Sci. (Med.), Cardiologist of the Department of Cardiovascular Surgery, 

Moscow

gelecyan@ixv.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр хирургии имени А. В. Вишневского» Министерства здравоохранения Российской ФедерацииРоссияVishnevsky Institute of SurgeryRussian Federation20201107202017957580Copyright © Печетов А.А., Алекян Б.Г., Леднев А.Н., Маков А.А., Карапетян Н.Г., Гелецян Л.Г., 20212021Печетов А.А., Алекян Б.Г., Леднев А.Н., Маков А.А., Карапетян Н.Г., Гелецян Л.Г.Pechetov A.A., Alekyan B.G., Lednev A.N., Makov M.A., Karapetyan N.G., Gelecyan L.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/1426

Хирургическое лечение онкологических заболеваний с сопутствующими соматическими патологиями представляет собой сложный вопрос. В ситуациях, когда сопутствующая соматическая патология также требует хирургического подхода, определение адекватной лечебной тактики наиболее актуально. Отсроченное оперативное лечение онкологического заболевания увеличивает риски прогрессирования и генерализации процесса, хирургическое лечение опухоли на фоне декомпенсированной сопутствующей патологии потенциально влечет риски неблагоприятного исхода. При сочетании онкологического и соматического заболевания определение алгоритмов лечения на сегодняшний день – одна из первостепенных задач. В настоящей работе представлено клиническое наблюдение одноэтапного хирургического лечения рака легкого и тяжелого аортального стеноза, представлен краткий литературный обзор по данной тематике. 

Surgical treatment of oncological diseases with concomitant somatic pathologies is a complex issue. In situations when concomitant somatic pathology also requires a surgical approach, the determination of adequate treatment tactics is most relevant. Delayed surgical treatment of cancer increases the risks of progression and generalization of the process; surgical treatment of a tumor against the background of decompensated concomitant pathology potentially entails risks of an unfavorable outcome. With a combination of oncological and somatic diseases, the definition of treatment algorithms today is one of the primary tasks.

This paper presents a clinical observation of one-stage surgical treatment of lung cancer and severe aortic stenosis, provides a brief literature review on this topic. 

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The authors declare that there are no conflicts of interest present.