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.
Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan.
Shinji
S
Kanemitsu
Takatsugu
T
Shimono
Koji
K
Onoda
Hideto
H
Shimpo
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