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A Case of Simultaneous Endovascular Aneurysmal Repair (EVAR) and Coronary Artery Bypass Grafting (CABG)

Shun-Ichi Kawarai1, Gen-Ya Yaginuma, Kazuo Abe

  • 1Department of Cardiovascular Surgery, Hachinohe City Hospital, Hachinohe, Aomori, Japan.

Annals of Vascular Diseases
|May 4, 2013
PubMed

Insights

Simultaneous endovascular repair of large abdominal aortic aneurysms (AAA) and beating coronary artery bypass grafting offers a less invasive option for patients with severe coronary artery disease. This combined approach proved safe and effective, preventing complications from staged procedures.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Patients with abdominal aortic aneurysm (AAA) often have concurrent coronary artery disease (CAD).
  • Managing these complex conditions requires careful consideration to minimize risks associated with staged interventions.
  • Simultaneous surgical approaches are being explored for complex cases.

Observation:

  • A male patient presented with a large AAA (78 mm) and significant coronary artery lesions, including the left main trunk.
  • The patient required both AAA repair and coronary artery bypass grafting (CABG).

Findings:

  • A simultaneous endovascular aneurysm repair (EVAR) and beating heart CABG procedure was successfully performed.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • This combined, less invasive approach may be a promising alternative for high-risk patients with concurrent AAA and severe CAD.
  • Simultaneous EVAR and beating CABG can potentially reduce the risks associated with separate cardiac and endovascular procedures.
  • This strategy warrants further investigation as a viable treatment option for complex cardiovascular cases.

Keywords:
abdominal aortic aneurysm (AAA)coronary artery bypass grafting (CABG)coronary artery disease (CAD)endovascular aneurysmal repair (evar)

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