A Case of Simultaneous Endovascular Aneurysmal Repair (EVAR) and Coronary Artery Bypass Grafting (CABG)

Abstract

A male patient with abdominal aortic aneurysm (AAA) and coronary artery disease was referred to our hospital. Coronary angiography showed multiple coronary lesions including the left main trunk. Computed tomography revealed a large AAA measuring 78 mm. To prevent aneurysmal rupture after coronary artery bypass grafting or cardiac complications after AAA repair, we performed simultaneous endovascular aneurysmal repair and coronary artery bypass grafting. The postoperative course was uneventful. Endovascular therapy and beating coronary artery bypass grafting is less invasive and may offer another promising option for the treatment of complicated case of AAA with severe coronary artery disease.

A Case of Simultaneous Surgery of Minimal Invasive Direct Coronary Artery Bypass Grafting and Endovascular Aneurysm Repair in a Patient with Severe Kyphoscoliosis

“…Kawarai et al had presented successful case underwent simultaneous operation of on pump CABG and EVAR 3) . And Field et al reported 4 cases of OPCAB and EVAR 4) .…”

“…Conventionally, several simultaneous operations have been reported ; On Pump CABG (Coronary Artery Bypass Grafting) + Surgical AAA repair, median sternotomy Off Pump CABG (OP-CAB)+ Surgical AAA repair, or OPCAB + endovascular aneurysm repair (EVAR) [1][2][3][4] .…”