Asian Annals
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Masaaki Kato
Masanori Ogiwara
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Yuji Yokote
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Asian Cardiovasc Thorac Ann 2003;11:233-236
© 2003 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTION

Combined Coronary Artery Bypass Grafting and Abdominal Aortic Aneurysm Repair

Hiroshi Ohuchi, MD, Masaaki Kato, MD, Haruhiko Asano, MD, Hiroaki Tanabe, MD, Masanori Ogiwara, MD, Kazuhito Imanaka, MD, Satoshi Gojo, MD, Yuji Yokote, MD, Shunei Kyo, Md

Department of Surgery, Division of Cardiovascular Surgery, Saitama Medical School, Saitama, Japan

For reprint information contact: Hiroshi Ohuchi, MD Tel: 81 45 621 3388 Fax: 81 45 622 3389 email: hi01-oouchi{at}city.yokohama.jpDivision of Cardiovascular Surgery, Yokohama City Kowan Hospital, Yokohama, Japan.

The purpose of this paper was to assess the results and feasibility of simultaneous coronary artery bypass grafting and abdominal aortic aneurysm repair. Twenty nine patients with a mean age of 65 years underwent simultaneous coronary artery bypass grafting and abdominal aortic aneurysm repair between June 1990 and March 2002. All patients had significant coronary artery disease and were considered as indicated for coronary artery bypass grafting. This was performed first in 28 patients and simultaneously with abdominal aortic aneurysm repair in one, with a mean number of grafts of 2.5, a mean aortic cross-clamp time of 40 minutes, and a mean bypass time of 115 minutes. Eight straight and 21 bifurcated grafts were employed. The total operating time averaged 400 minutes. The median postoperative hospital stay was 18 days. One patient died of stroke and mediastinitis, for a mortality rate of 3.5%. This experience suggests that combined coronary artery bypass grafting and abdominal aortic aneurysm repair is both safe and effective.






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