title: Combined coronary artery bypass grafting and repair of aneurysm of the descending aorta.
abstract: The outcome of patients with thoracic or thoracoabdominal aortic aneurysm is often determined by the concomitant coronary artery disease. Two patients with thoracic and thoracoabdominal aortic aneurysm and concomitant single-vessel coronary artery disease underwent combined myocardial revascularization and repair of aortic aneurysm. The operations were performed through a left thoracotomy and thoracoabdominal incision with distal aortic perfusion using a partial femoro-femoral bypass and selective right lung ventilation. Coronary anastomoses were performed on the beating heart, and the aneurysm was replaced with a woven Dacron tube graft.
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland. tmihaljev1@bics.bwh.harvard.edu
authors.forename: T
authors.initials: T
authors.lastname: Mihaljevic
authors.forename: M
authors.initials: M
authors.lastname: Tönz
authors.forename: L K
authors.initials: LK
authors.lastname: von Segesser
authors.forename: M I
authors.initials: MI
authors.lastname: Turina
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male