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

Abstract

Surgical management of coexisting severe coronary artery disease and large or symptomatic abdominal aortic aneurysm may be required in patients who are unsuitable candidates for minimally invasive interventions. Although several options have been proposed, the optimal timing to deal with both entities, in order to achieve the best outcome, is still debatable. This report presents a modified approach based on a two-stage treatment in a single anesthetic session.

Evaluation of coronary artery disease and other risk factors in patients with abdominal aortic aneurysm

“…The appropriate surgical approach should be determined considering each individual's characteristics and comorbid diseases. [8,[27][28][29] In conclusion, in the present study, AAA patients who were admitted to our clinic over the last 10 years were investigated retrospectively, and treatment outcomes and risk factors were evaluated. We can suggest that a preoperative detailed evaluation of factors affecting the mortality and morbidity rates along with possible complications in patients is needed, especially in the presence of CAD.…”