Key result
Simultaneous coronary artery bypass grafting and Heller myotomy was successfully performed in a 69-year-old female, with an uneventful postoperative course and discharge on day 9.
Why the study?
Does simultaneous coronary artery bypass grafting and Heller myotomy provide a safe and effective surgical approach in a patient with severe coronary artery disease and achalasia?
Case Report (n=1)
Does simultaneous coronary artery bypass grafting and Heller myotomy provide a safe and effective surgical approach in a patient with severe coronary artery disease and achalasia?
Simultaneous coronary artery bypass grafting and Heller myotomy via sternotomy on cardiopulmonary bypass is a feasible and novel surgical approach for patients with concurrent severe coronary artery disease and achalasia.
Simultaneous CABG and Heller myotomy may be feasible in select patients; hypothesis-generating and should not yet change practice.
A 69-year-old female patient presented to cardiac surgery department with unstable angina due to severe coronary artery disease. Coronary artery bypass grafting was indicated; however, the patient's symptoms of achalasia, previously treated by the pneumatic dilatation, exacerbated. Subsequently, the patient underwent simultaneous surgery. After sternotomy, on cardiopulmonary bypass, esophagus was exposed and Heller myotomy was performed. Following cardioplegia, coronary artery bypass grafting was completed. The postoperative course was uneventful, and the patient was discharged on postoperative Day 9. In conclusion, this novel surgical technique can be effectively used in such cases.
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Benetis et al. (2021) conducted a case report in Coronary artery disease and achalasia (n=1). Simultaneous coronary artery bypass grafting and Heller myotomy was evaluated on Postoperative course and discharge. Simultaneous coronary artery bypass grafting and Heller myotomy was successfully performed in a 69-year-old female, with an uneventful postoperative course and discharge on day 9.
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