title: Minimally invasive direct coronary artery bypass combined with abdominal aortic aneurysm repair.
abstract: BACKGROUND
  For simultaneously combined coronary artery bypass surgery with infrarenal abdominal aortic aneurysm (AAA) repair, a relatively high operative mortality and morbidity have been reported.
  
  
  METHODS
  From February 1998 to December 1998, simultaneous minimally invasive direct coronary artery bypass combined with the AAA repair was performed for 4 patients (3 males, 1 female; mean age, 74+/-7 years). Three were high-risk patients: 2 were over 75 years of age, 2 had respiratory insufficiency, and 1 had severe renal impairment.
  
  
  RESULTS
  There were no mortalities. The endotracheal tube was removed within approximately 12 hours, and the postoperative courses were uneventful. During 4+/-4 months of follow-up, there was neither angina recurrence nor other morbidity.
  
  
  CONCLUSIONS
  Minimally invasive direct coronary artery bypass combined with AAA repair was safe even for high-risk patients.
authors.affiliation: Department of Surgery III, Nara Medical University, Japan. ykameda@naramed-u.ac.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Kameda
authors.forename: S
authors.initials: S
authors.lastname: Taniguchi
authors.forename: T
authors.initials: T
authors.lastname: Kawata
authors.forename: N
authors.initials: N
authors.lastname: Tabayashi
authors.forename: M
authors.initials: M
authors.lastname: Kimura
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D016896:Treatment Outcome