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Ann Thorac Surg 1999;68:1537-1539
© 1999 The Society of Thoracic Surgeons

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Supplement: Minimally Invasive Cardiac Surgery

Minimally invasive direct coronary artery bypass combined with abdominal aortic aneurysm repair

^a Department of Surgery III, Nara Medical University, Nara, Japan

Address reprint requests to Dr Kameda, Department of Surgery III, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan
e-mail: ykameda{at}naramed-u.ac.jp

Presented at Evolving Techniques and Technologies in Minimally Invasive Cardiac Surgery, San Antonio, TX, Jan 22–23, 1999

Abstract

Background. For simultaneously combined coronary artery bypass surgery with infrarenal abdominal aortic aneurysm (AAA) repair, a relatively high operative mortality and morbidity have been reported.

Methods. From February 1998 to December 1998, simultaneous minimally invasive direct coronary artery bypass combined with the AAA repair was performed for 4 patients (3 males, 1 female; mean age, 74 ± 7 years). Three were high-risk patients: 2 were over 75 years of age, 2 had respiratory insufficiency, and 1 had severe renal impairment.

Results. There were no mortalities. The endotracheal tube was removed within approximately 12 hours, and the postoperative courses were uneventful. During 4 ± 4 months of follow-up, there was neither angina recurrence nor other morbidity.

Conclusions. Minimally invasive direct coronary artery bypass combined with AAA repair was safe even for high-risk patients.

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