Is combined abdominal aortic aneurysm repair and coronary artery bypass grafting feasible?

Chung Ben Kan, Jih Shiuan Wang, Tarng Jenn Yu, Cheng Hsiung Huang, Chun Tse Shih, Ming Chi Yung, Shiau Ting Lai

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalChinese Medical Journal (Taipei)
Volume65
Issue number1
Publication statusPublished - May 27 2002
Externally publishedYes

Fingerprint

Abdominal Aortic Aneurysm
Coronary Artery Bypass
Hospital Costs
Aortic Rupture
Mortality
Coronary Disease
Coronary Artery Disease
Length of Stay
Demography
Morbidity

Keywords

  • Abdominal aortic aneurysm
  • Coronary artery bypass

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Is combined abdominal aortic aneurysm repair and coronary artery bypass grafting feasible? / Kan, Chung Ben; Wang, Jih Shiuan; Yu, Tarng Jenn; Huang, Cheng Hsiung; Shih, Chun Tse; Yung, Ming Chi; Lai, Shiau Ting.

In: Chinese Medical Journal (Taipei), Vol. 65, No. 1, 27.05.2002, p. 29-33.

Research output: Contribution to journalArticle

Kan, Chung Ben ; Wang, Jih Shiuan ; Yu, Tarng Jenn ; Huang, Cheng Hsiung ; Shih, Chun Tse ; Yung, Ming Chi ; Lai, Shiau Ting. / Is combined abdominal aortic aneurysm repair and coronary artery bypass grafting feasible?. In: Chinese Medical Journal (Taipei). 2002 ; Vol. 65, No. 1. pp. 29-33.
@article{2ac790d98e0a45b5b1d2375449e4fd62,
title = "Is combined abdominal aortic aneurysm repair and coronary artery bypass grafting feasible?",
abstract = "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.",
keywords = "Abdominal aortic aneurysm, Coronary artery bypass",
author = "Kan, {Chung Ben} and Wang, {Jih Shiuan} and Yu, {Tarng Jenn} and Huang, {Cheng Hsiung} and Shih, {Chun Tse} and Yung, {Ming Chi} and Lai, {Shiau Ting}",
year = "2002",
month = "5",
day = "27",
language = "English",
volume = "65",
pages = "29--33",
journal = "Journal of the Chinese Medical Association",
issn = "1726-4901",
publisher = "Elsevier Taiwan LLC",
number = "1",

}

TY - JOUR

T1 - Is combined abdominal aortic aneurysm repair and coronary artery bypass grafting feasible?

AU - Kan, Chung Ben

AU - Wang, Jih Shiuan

AU - Yu, Tarng Jenn

AU - Huang, Cheng Hsiung

AU - Shih, Chun Tse

AU - Yung, Ming Chi

AU - Lai, Shiau Ting

PY - 2002/5/27

Y1 - 2002/5/27

N2 - 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.

AB - 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.

KW - Abdominal aortic aneurysm

KW - Coronary artery bypass

UR - http://www.scopus.com/inward/record.url?scp=0036091442&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036091442&partnerID=8YFLogxK

M3 - Article

C2 - 11939672

AN - SCOPUS:0036091442

VL - 65

SP - 29

EP - 33

JO - Journal of the Chinese Medical Association

JF - Journal of the Chinese Medical Association

SN - 1726-4901

IS - 1

ER -