A two-stage procedure involving coronary artery bypass grafting and aortic valve replacement followed by abdominal aortic aneurysm repair two days later was performed on a 51-year-old man with severely depressed left ventricular function. The patient was supported with a left ventricular assist device as a short-term bridge between the two stages of surgery. This strategy may be a useful alternative to a one-stage operation in high-risk patients.
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References
1.
GoldenMAWhittemoreADDonaldsonMCMannicJA. Selective evaluation and management of coronary artery disease in patient undergoing repair of abdominal aortic aneurysm. Ann Surg1990;212:415–23.
2.
HinkampTJPifarreRBakhosMBlakemanB. Combined myocardial revascularization and abdominal aortic aneurysm repair. Ann Thorac Surg1991;51:470–2.
ReulGJCooleyDADuncanMThe effect of coronary bypass on the outcome of peripheral vascular operation in 1093 patients. J Vasc Surg1986;3:788–98.
5.
FreemanWKGershBJGloviczkiP. Abdominal aortic aneurysm and coronary artery disease: frequent companions, but an uneasy relationship. J Vasc Surg1990;12:73–6.
6.
UedaTKawataHMasaiTA simultaneous operation of A-C bypass and replacement of abdominal aortic aneurysm: a successful case. J Jap Assoc Thorac Surg1989;37:1979–83.
MatsudaHMatsuwakaRKanekoMAnalysis of clinical factors for survival after left and biventricular bypass using centrifugal pump following open heart surgery in infants and adults. Aritif Organs1990;14:382–6.
