Concomitant transabdominal MIDCAB and abdominal aortic aneurysm repair.
We present 2 patients who underwent transabdominal minimally invasive direct coronary artery bypass with the right gastroepiploic artery combined with abdominal aortic aneurysm repair. The surgical procedures, both performed through a median laparotomy, proved safe and of limited invasiveness. The one-stage surgical intervention prevented catastrophic complications, such as acute myocardial infarction or rupture of abdominal aortic aneurysm. We believe that concomitant transabdominal minimally invasive direct coronary artery bypass and abdominal aortic aneurysm repair should be considered as a single combined surgical strategy in selected patients.
Sakaguchi
Hidehito
H
Department of Surgery III, Nara Medical University, Kashihara, Nara, Japan. sakahide@naramed-u.ac.jp
Taniguchi
Shigeki
S
Kawata
Tetsuji
T
Tabayashi
Nobuoki
N
Ueda
Takashi
T
D000368:Aged; D000714:Anastomosis, Surgical; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019074:Epigastric Arteries / Q000637:transplantation*; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011379:Prognosis; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*