[Surgical stratery for abdominal aortic aneurysm with coronary artery disease].
Kyobu Geka
; 62(1): 45-9, 2009 Jan.
Article
em Ja
| MEDLINE
| ID: mdl-19195186
ABSTRACT
Coronary artery disease (CAD) and abdominal aortic aneurysm (AAA) frequently coexist. One-stage surgery of coronary artery bypass grafting (CABG) and AAA repair is recommended for the treatment of patients having a combination of severe CAD and large AAA. Fifty-three patients underwent simultaneous CABG and AAA repair. By operative methods, we classified them into 3 groups; on-pump CABG and AAA repair group (group A n=13), AAA repair and off-pump CABG using partial sternotomy group (group B n=23) and those using full sternotomy group (group C n=16). It was evaluated which operative method was superior. Off-pump method was superior to on-pump method. A problem of simultaneous CABG and AAA repair was postoperative respiratory complication. This study suggests that the minimally invasive methods should be used for one-stage operation of CABG and AAA repair.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Ponte de Artéria Coronária
/
Aneurisma da Aorta Abdominal
/
Doença das Coronárias
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Japão