Letter to the Editor: Concomitant Off-Pump Coronary Artery Bypass Grafting and Thymectomy

Thymoma in patients with coronary disease is rare.  Although simultaneously performing a cardiac procedure  and thymectomy for patients with combined thymoma and  cardiac disease has been reported, a clear consensus regard- ing the optimal surgical treatment is lacking. Moreover, in  all of the previously reported cases, the surgical intervention  and standard cardiopulmonary bypass were performed simul- taneously. We present the case of a patient who underwent  combined off-pump coronary artery bypass grafting (CABG)  and thymectomy. We show that this combined procedure is  the treatment of choice for patients with a severely ischemic  myocardium and a malignant thymoma.