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Right arrow Minimally invasive surgery

Ann Thorac Surg 2003;76:621-622
© 2003 The Society of Thoracic Surgeons

Case report

Concomitant transabdominal MIDCAB and abdominal aortic aneurysm repair

Hidehito Sakaguchi, MDa*, Shigeki Taniguchi, MDa, Tetsuji Kawata, MDa, Nobuoki Tabayashi, MDa, Takashi Ueda, MDa

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

Accepted for publication January 23, 2003.

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

We present 2 patients who underwent transabdominal minimally invasive direct coronary artery bypass with the right gastroepiploic artery combined with abdominal aortic aneurysm repair. The surgical procedures, both performed through a median laparotomy, proved safe and of limited invasiveness. The one-stage surgical intervention prevented catastrophic complications, such as acute myocardial infarction or rupture of abdominal aortic aneurysm. We believe that concomitant transabdominal minimally invasive direct coronary artery bypass and abdominal aortic aneurysm repair should be considered as a single combined surgical strategy in selected patients.






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Copyright © 2003 by The Society of Thoracic Surgeons.