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

Keywords

  • Abdominal aortic aneurysm
  • Coronary artery bypass

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Kan, C. B., Wang, J. S., Yu, T. J., Huang, C. H., Shih, C. T., Yung, M. C., & Lai, S. T. (2002). Is combined abdominal aortic aneurysm repair and coronary artery bypass grafting feasible? Chinese Medical Journal (Taipei), 65(1), 29-33.