Is combined abdominal aortic aneurysm repair and coronary artery bypass grafting feasible?
BACKGROUND
Significant coronary artery disease requiring coronary artery bypass grafting (CABG) may co-exist with large abdominal aortic aneurysm (AAA) in some patients. We reviewed our experience in either staged or simultaneous operation.


METHODS
The records of all patients receiving both CABG and AAA repairs in recent 7 years were retrospectively reviewed. The patient demographics, severity of coronary disease, AAA size, duration of staged procedures, perioperative morbidity and mortality rates as well as the hospital cost were analyzed.


RESULTS
From June 1993 to Sept 2000, totally 14 patients received both CABG and AAA repair, including 6 patients for simultaneous operation (group A, 42.8%) and 8 for staged operation (group B, 57.2%) with CABG first. Patients in the group A were younger and with larger AAA. There was neither operative mortality in both group nor interprocedure AAA rupture in group B. Total postoperative hospital stay and hospital cost were significantly decreased in group A than in group B rehospitalized patients.


CONCLUSIONS
Simultaneous CABG and AAA repair is feasible in surgical technique. In those younger patients with larger AAA, combined surgery could be performed as safely as staged procedures.
Kan
Chung-Ben
CB
Department of Surgery, Chia-Yi Christian Hospital, Taiwan.
Wang
Jih-Shiuan
JS
Yu
Tarng-Jenn
TJ
Huang
Cheng-Hsiung
CH
Shih
Chun-Tse
CT
Yung
Ming-Chi
MC
Lai
Shiau-Ting
ST
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D001026:Coronary Artery Bypass; D005240:Feasibility Studies; D006801:Humans; D008297:Male