[Combined off-pump CABG (OPCAB) and abdominal vascular surgery]

Area of Science:

• Cardiovascular Surgery
• Vascular Surgery
• Minimally Invasive Cardiac Surgery

Background:

• Coronary artery disease and peripheral artery disease often coexist.
• Patients with complex vascular disease may present increased surgical risk.
• Off-pump coronary artery bypass grafting (OPCAB) offers advantages in specific patient populations.

Observation:

• Two cases successfully underwent simultaneous off-pump coronary artery bypass grafting (OPCAB) and abdominal vascular surgery.
• Case 1: 52-year-old male with left anterior descending coronary artery stenosis and right external iliac artery stenosis underwent OPCAB and aortoiliac bypass.
• Case 2: 57-year-old male with severe three-vessel coronary artery disease and abdominal aortic aneurysm underwent complete arterial revascularization on a beating heart followed by aneurysm repair.

Findings:

• Both procedures were performed safely and effectively with reduced operative times.
• Case 1 operative time: 3 hours 50 minutes, blood loss: 150 ml.
• Case 2 operative time: 6 hours 15 minutes, uneventful course.

Implications:

• Simultaneous OPCAB and abdominal vascular surgery is a viable option for selected patients.
• This combined approach may reduce overall treatment time and potential complications.
• The technique is particularly beneficial for patients with high risk of cerebrovascular events.