[Combined operation for patients with ischemic heart disease and thoracic aortic aneurysm].
Myocardial infarction is one of the chief causes of operative mortality after surgical treatment of aortic aneurysm. For this reason, coronary bypass grafting combined with aneurysmectomy has been recommended by some surgeons. We advise routine preoperative cardiac catheterization in all patients with clinical indications of coronary artery disease who are scheduled for aneurysmectomy. For patients with operative indication of coronary bypass grafting, we would think that patients with unstable coronary artery disease and symptomatic thoracic aneurysm might have both lesions safely repaired as a combined operative procedure.
Kitamura
S
S
Sezai
Y
Y
D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery*; D001026:Coronary Artery Bypass; D006801:Humans; D008722:Methods; D017202:Myocardial Ischemia / Q000150:complications* / Q000601:surgery*