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[Three cases of aortic arch aneurysm complicated with coronary artery disease]
T Yasuda1, S Yamamoto, Y Ishida
1Department of Cardiovascular Surgery, Fukui Prefectural Hospital, Japan.
Insights
This study reports successful aortic arch aneurysm repair with coronary artery bypass grafting in three patients. The combined procedure showed no postoperative complications, indicating its safety and efficacy.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Aortic arch aneurysms require complex surgical intervention.
- Concomitant coronary artery disease necessitates combined surgical approaches.
Observation:
- Three patients underwent graft replacement for aortic arch aneurysm and coronary artery bypass grafting between 1994 and 1998.
- Etiologies included arteriosclerosis (2 patients) and aortic dissection (1 patient).
- The Cabrol procedure was used for aortic root replacement in one case.
Findings:
- Saphenous vein grafts were used for coronary artery anastomosis under core cooling.
- Selective cerebral perfusion was employed during aortic arch and arch vessel reconstruction.
- All three patients experienced successful outcomes with no postoperative complications.
Implications:
- Combined aortic arch aneurysm repair and coronary artery bypass grafting is a viable and safe surgical option.
- The described techniques ensure patient safety during complex aortic arch reconstructions.
- This approach may be beneficial for patients with complex aortic arch pathology and coronary artery disease.
Abstract:
Graft replacement for aortic arch aneurysm and concomitant coronary artery bypass grafting were performed in three patients between January 1994 and December 1998 in our department. The etiology of the aneurysms was arteriosclerosis in 2, and aortic dissection in 1 patient who underwent aortic root replacement (Cabrol procedure) simultaneously. Saphenous vein grafts were anastomosed to the coronary artery during core cooling, and selective cerebral perfusion was performed during reconstruction of the aortic arch and arch vessels in all cases. All patients are well and no complications were observed postoperatively.