Outcomes of Simultaneous Off-Pump Coronary Artery Bypass Grafting and Vascular Surgery: A Retrospective Case Series

Area of Science:

• Cardiovascular Surgery
• Vascular Surgery
• Interventional Cardiology

Background:

• Multivessel coronary artery disease often coexists with significant vascular pathologies.
• Managing these conditions requires careful consideration of surgical timing and patient risk.
• Staged procedures increase healthcare costs and potential complications.

Purpose of the Study:

• To evaluate the outcomes of simultaneous coronary and vascular revascularization.
• To assess the safety and feasibility of combined surgical procedures.
• To explore potential benefits in reducing perioperative complications and healthcare expenses.

Main Methods:

• Retrospective assessment of 6 patients (mean age 73.6 years) with coronary artery disease and vascular pathologies.
• Procedures included off-pump coronary artery bypass grafting combined with carotid endarterectomy, femoropopliteal bypass, open abdominal aortic grafting, or endovascular therapy.
• Surgical duration averaged 396 minutes with variable blood loss (47-2000 mL).

Main Results:

• No major perioperative complications were observed in the cohort.
• Simultaneous procedures were technically feasible in this small group.
• The combined approach managed complex cardiovascular and peripheral vascular disease concurrently.

Conclusions:

• Simultaneous coronary and vascular revascularization appears safe and effective in select elderly patients.
• This strategy may mitigate risks associated with dual antiplatelet therapy and staged surgeries.
• Further research is warranted to confirm these findings in larger patient populations.