Combined coronary artery bypass grafting and abdominal aortic aneurysm repair

Modified Staged Surgical Approach to Coexisting Severe Coronary Artery Disease and Large Abdominal Aortic Aneurysm

“…Another option for the management of both CABG and large/symptomatic aneurysm is the combined treatment 1,2,4,5,8,9 . In this approach one strategy is to perform initially a standard CABG under cardiopulmonary by‐pass (CPB).…”

“…Another option for the management of both CABG and large/symptomatic aneurysm is the combined treatment. 1,2,4,5,8,9 In this approach one strategy is to perform initially a standard CABG under cardiopulmonary by-pass (CPB). Following completion of the cardiac grafts, patients are warmed and weaned from CPB and subsequently aortic clamping is applied for the AAA repair.…”

Combined Coronary Artery Bypass Grafting on the Beating Heart and Abdominal Aortic Aneurysm Repair

“…In patients with complications, impaired left ventricular function, poor respiratory function and/or renal failure, the mortality rate of combined surgery with CPB under cardiac arrest is reported to be 0-25%. [20][21][22][23] The patients at highest risk for undergoing CPB, including those of advanced age and having ventricular dysfunction, are precisely those for whom OPCABG may be the most useful. OPCABG also reduces hospital cost, the length of postoperative stay and morbidity compared with CABG on CPB, and is safe and effective.…”

Ideal peri‐operative management of patients with cardiovascular disease: the quest continues

“…Options here include reduction in the magnitude or cancellation of non-cardiac surgery, performance of non-cardiac surgery with appropriate cardioprotective measures, or simultaneous CABG and non-cardiac surgery. Although published data from some specialised centres suggest low mortality rates (4.8% or less) from simultaneous CABG and non-cardiac surgery [26,27], other series describe mortality that is significantly higher and may exceed that from procedures performed separately [28]. Newer developments in cardiac surgery (e.g.…”