Temporary axillo-femoral bypass for abdominal aortic aneurysm repair in high risk patients.
Abdominal aortic aneurysm (AAA) is sometimes associated with coronary artery and valvular disease. We report the successful treatment of a 76-year-old woman diagnosed with an infrarenal AAA, associated with severe mitral regurgitation and double-vessel coronary artery disease. First, AAA repair, using temporary axillo-femoral bypasses on both sides was done. Second, after 77 days, we simultaneously undertook coronary artery bypass grafting (CABG) and mitral valve repair. This staged operation achieved an excellent result. This rarely used abdominal aortic surgical procedure contributed to minimizing variations in afterload, an important consideration in high risk cardiac patients.
Kanemitsu
Shinji
S
Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan.
Shimono
Takatsugu
T
Onoda
Koji
K
Shimpo
Hideto
H
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006348:Cardiac Surgical Procedures; D015897:Comorbidity; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000453:epidemiology / Q000601:surgery*; D012306:Risk; D013318:Stroke Volume; D016277:Ventricular Function, Left