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

We assessed the outcomes of simultaneous coronary and vascular revascularization in 6 patients with multivessel coronary artery disease and vascular pathologies, including abdominal aortic aneurysm, carotid artery stenosis, and critical limb ischemia. The patients (mean age: 73.6 years) underwent off-pump coronary artery bypass grafting combined with carotid endarterectomy, femoropopliteal bypass, open abdominal aortic grafting, or endovascular therapy. The average surgical duration was 396 min (blood loss: 47–2000 mL), with no major perioperative complications. Simultaneous coronary and vascular surgeries may reduce perioperative complications and eliminate the bleeding hazards associated with dual antiplatelet therapy, while helping to reduce healthcare costs by avoiding staged procedures.