Combined Thoracoabdominal Aneurysm Repair and Off-Pump Coronary Artery Surgery

Off-pump coronary revascularization using local stabilizing devices and less invasive methods are getting more interest with good results. To our knowledge we report the first operation of which concomitant coronary revascularization using “Octopus®” device and thoracoabdominal aneurysm repair has been done without extracorporeal circulation with successful outcome. Repair of the aorta and patency of the descending aorta to coronary saphenous bypass graft were showed with angiography at postoperative 6 month.

Aorta - Thoracoabdominal aneurysm - Coronary disease - Surgery - Octopus - Beating heart

References

• 1 Svensson L G, Crawford S, Hess K R, Coselli J S, Safi H S. Experience with 1509 patients undergoing thoracoabdominal aortic operations.  J Vase Surg. 1993;  17 357-370
• 2 Crawford E S, Crawford J L, Safi H J,. et al . Thoracoabdominal aortic aneurysms: preoperative and interceptive fectors determining immediate and long-term results of operations in 605 patients.  J Vase Surg. 1986;  3 389-404
• 3 Mihaljevic T, Tonz M, von Segesser L K, Turina M I. Combined coronary artery bypass grafting and repair of aneurysm of the descending aorta.  Ann Thorac Surg. 1999;  67 1497-1499
• 4 Okamoto H, Ito T, Niimi T, Morita S. Surgery of thoracoabdominal aortic aneurysm associated with coronary artery disease.  Nippon Kyobu Geka Gakkai Zasshi,. 1995;  43 1953-1957
• 5 Carrel T, Niederhauser U, Pasic M, Gallino A, von Segesser L K, Turina M I. Simultaneous revascularization for critical coronary and peripheral vascular ischemia.  Ann Thorac Surg. 1991;  52 805-809

Received for Publication: September 17, 2000