[Simultaneous operations at coronary arteries and aorto-iliac zone]

Area of Science:

• Vascular Surgery
• Cardiovascular Surgery
• Minimally Invasive Surgery

Background:

• Cardiac complications are the leading cause of mortality (40%) after aorto-iliac surgery.
• Multifocal atherosclerosis often requires simultaneous interventions in different vascular beds.

Observation:

• Analysis of 10 simultaneous operations combining coronary artery bypass grafting and aorto-femoral bypass via a mini-approach.
• Detailed description of surgical stages and techniques for simultaneous reconstructions.
• Presentation of a clinical case involving simultaneous brachiocephalic, coronary, and lower limb artery reconstructions.

Findings:

• Mini-invasive methods enable simultaneous operations on coronary and aorto-iliac segments.
• The described approach facilitates combined reconstructions in patients with complex, multifocal atherosclerosis.
• Intraoperative and postoperative parameters were monitored for simultaneous procedures.

Implications:

• Mini-invasive techniques can expand indications for simultaneous vascular reconstructions.
• This approach may improve outcomes for patients with critical limb ischemia and coronary artery disease.
• Further research into minimally invasive simultaneous vascular interventions is warranted.