Rare case of concomitant coronary artery bypass grafting and open abdominal aortic aneurysm repair.

IF 0.4 Q4 SURGERY Journal of Surgical Case Reports Pub Date : 2024-10-28 eCollection Date: 2024-10-01 DOI:10.1093/jscr/rjae672
Dakota Pastore, Sabrina Higgins, Taylor James, Zamaan Hooda, Pasha Shenasen, Alexios Therionos, John Paul Bustamante, Jagbir Beniwal, Mark Connolly, John Danks
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Abstract

Coronary artery disease occurs when coronary vessels are unable to supply adequate oxygen to the myocardium, while an abdominal aortic aneurysm (AAA) is a dilatation of the abdominal aorta. Both conditions have similar risk factors such as smoking and hypertension. If these disease processes become severe and are left untreated, life-threatening consequences may occur. We present a 71-year-old male with prior myocardial infarction and an infrarenal AAA that underwent a rare combined procedure of coronary artery bypass grafting (CABG) and open AAA repair surgery. The CABG involved grafting the left internal mammary artery and saphenous vein to coronary arteries while the AAA repair used an 18-mm bifurcated aortic graft. Combined CABG and open AAA repair is complex and rare, but aims to reduce mortality and prevent aneurysm rupture in patients with severe comorbid conditions. The patient's positive postoperative outcome highlights the procedure's efficacy in select cases.

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罕见的同时进行冠状动脉旁路移植术和开放式腹主动脉瘤修补术的病例。
冠状动脉疾病是指冠状动脉血管无法向心肌提供足够的氧气,而腹主动脉瘤(AAA)是指腹主动脉扩张。这两种疾病都有类似的风险因素,如吸烟和高血压。如果这些疾病过程变得严重且不及时治疗,可能会出现危及生命的后果。我们为您介绍一位 71 岁的男性患者,他曾患有心肌梗死和肾下 AAA,并接受了罕见的冠状动脉旁路移植术(CABG)和开放式 AAA 修复手术。冠状动脉旁路移植手术包括将左乳内动脉和大隐静脉移植到冠状动脉,而 AAA 修复手术则使用了 18 毫米的主动脉分叉移植物。联合 CABG 和开放式 AAA 修复术既复杂又罕见,但其目的是降低死亡率,防止合并严重疾病的患者动脉瘤破裂。患者术后的良好疗效凸显了该手术在特定病例中的疗效。
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CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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