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Published on: September 15, 2023
Combined off-pump coronary artery bypass grafting and aorto-bicarotid bypass
R Turkoz1, O Gulcan, L Oguzkurt
1Department of Cardiovascular Surgery, Başkent University Adana Teaching and Medical Research Center, Adana, Turkey. rturkoz@yahoo.com
Insights
A combined surgical procedure successfully treated severe coronary artery disease and aortic arch branch occlusion in a 63-year-old man. The patient experienced no complications during an 11-month follow-up period.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Cardiac Surgery
Background:
- Severe coronary artery disease (CAD) poses significant risks.
- Occlusion of aortic arch branches can lead to critical systemic hypoperfusion.
- Combined surgical interventions are complex but may be necessary for extensive disease.
Observation:
- A 63-year-old male patient presented with symptoms including dizziness, syncope, and unstable angina.
- The patient had severe coronary artery disease and occlusion affecting multiple aortic arch branches.
Findings:
- A successful combined surgical procedure involving aorto-bicarotid bypass and off-pump myocardial revascularization was performed.
- The patient remained complication-free throughout an 11-month post-operative follow-up period.
Implications:
- This case demonstrates the feasibility and efficacy of combined aorto-bicarotid bypass and off-pump myocardial revascularization for complex cardiovascular disease.
- Successful surgical management can significantly improve patient outcomes and quality of life in cases of extensive CAD and aortic arch disease.
Abstract:
A 63-year-old man with severe coronary artery disease and occlusion of aortic arch branches presented with dizziness, syncope and unstable angina. He underwent a combined surgical procedure of aorto-bicarotid bypass and off-pump myocardial revascularization. The operation was successful and he had no complications during 11 months of follow-up.
