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Ann Thorac Surg 1999;67:1497-1499
© 1999 The Society of Thoracic Surgeons

Case Reports

Combined coronary artery bypass grafting and repair of aneurysm of the descending aorta

Tomislav Mihaljevic, MDa, Martin Tönz, MDa, Ludwig K. von Segesser, MDa, Marko I. Turina, MDa

a Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland

Accepted for publication November 3, 1998.

Address reprint requests to Dr Mihaljevic, Division of Cardiac Surgery, Department of Surgery, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115
e-mail: tmihaljev1{at}bics.bwh.harvard.edu

The outcome of patients with thoracic or thoracoabdominal aortic aneurysm is often determined by the concomitant coronary artery disease. Two patients with thoracic and thoracoabdominal aortic aneurysm and concomitant single-vessel coronary artery disease underwent combined myocardial revascularization and repair of aortic aneurysm. The operations were performed through a left thoracotomy and thoracoabdominal incision with distal aortic perfusion using a partial femoro-femoral bypass and selective right lung ventilation. Coronary anastomoses were performed on the beating heart, and the aneurysm was replaced with a woven Dacron tube graft.




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