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Ann Thorac Surg 1998;65:1452-1453
© 1998 The Society of Thoracic Surgeons

Case Reports

MIDCABG Followed by a Gastrointestinal Operation in the Same Anesthetic Setting

David Zolfaghari, MDa, Albert J. Pfister, MDa

a Division of Cardiothoracic Surgery, Washington Hospital Center, Washington, DC, USA

Accepted for publication December 4, 1997.

Address reprint requests to Dr Pfister, 106 Irving St, NW, #308, Washington, DC 20010

Cardiovascular complications continue to be a significant source of morbidity and mortality in patients having noncardiac operations. This especially is true in patients with known coronary artery disease facing intraabdominal operations. Minimally invasive direct coronary artery bypass grafting allows coronary artery grafting without cardiopulmonary bypass or a median sternotomy incision. Also, in combination with angioplasty (the "hybrid procedure"), it is possible to offer complete revascularization with far less surgical trauma. We present 2 cases of patients who had minimally invasive direct coronary artery bypass grafting followed by major gastrointestinal operations in the same anesthetic setting.




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