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[A surgical case of descending aortic aneurysm combined with simultaneous aortocoronary bypass grafting through a
J Yamanaka1, Y Takeuchi, A Gomi
1Department of Cardiovascular Surgery, Kanto Teishin Hospital, Tokyo, Japan.
Insights
A 71-year-old man underwent successful surgical repair for a descending aortic aneurysm and coronary artery bypass grafting. This combined procedure effectively treated both conditions, leading to a healthy recovery and discharge.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Descending aortic aneurysms pose significant risks, often requiring surgical intervention.
- Coronary artery disease, such as left circumflex (LCX) stenosis, frequently coexists with aortic pathologies.
- Combined surgical approaches are considered for patients with concurrent aortic and coronary artery disease.
Observation:
- A 71-year-old male patient presented with an abnormal chest CT, revealing a descending aortic aneurysm.
- Coronary angiography identified significant stenosis (75%) in the left circumflex artery (LCX, Segment II).
Findings:
- The patient underwent successful graft replacement of the descending aortic aneurysm and coronary artery bypass grafting (CABG) via left lateral thoracotomy.
- Postoperative angiography confirmed successful aortic reconstruction and a patent bypass graft.
- The patient experienced an uncomplicated recovery and was discharged in good health.
Implications:
- Simultaneous surgical repair of descending aortic aneurysms and coronary artery bypass grafting is a feasible and effective treatment strategy.
- Minimally invasive approaches like left lateral thoracotomy can be utilized for complex combined cardiovascular procedures.
- This case highlights the importance of comprehensive cardiovascular assessment and tailored surgical planning for patients with multi-vessel disease.
Abstract:
A 71-year-old man with a descending aortic aneurysm was admitted to the hospital because of abnormal chest CT. Aortogram revealed an aneurysm of the descending aorta. His coronary angiogram showed 75% stenosis at LCX (Seg II). The graft replacement of descending aortic aneurysm and coronary artery bypass grafting (CABG) were performed through a left lateral thoracotomy. Postoperative course was good. Postoperative angiogram demonstrated successful reconstruction of the descending aorta and a patent bypass graft. The patient discharged healthy without any complications.