在复杂的多发病和临床恶化的背景下，胸外科在平衡风险和收益时面临着一系列独特的挑战。麻醉、手术技术和影像学的进步为曾经被认为风险过高的患者提供了手术选择。有效的主动多学科方法对于取得成功至关重要。我们报告了一名患有严重主动脉瓣狭窄的 65 岁患者的病例，该患者因 IIIA 期肺癌接受了肺切除术，来自麻醉、手术、重症监护和放射科团队的关键多学科团队的投入，澄清了该病例导致他的临床恶化的原因，有助于他的管理决策并确保良好的临床结果。© 2024 由 Elsevier Ltd 出版。

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.© 2024 Published by Elsevier Ltd.