Why the study?
Is combined beating heart CABG and abdominal aortic aneurysm repair safe and effective in patients with coexisting CAD and AAA?
Is combined beating heart CABG and abdominal aortic aneurysm repair safe and effective in patients with coexisting CAD and AAA?
Combined beating heart CABG and abdominal aortic aneurysm repair in a single-stage procedure appears safe and feasible, avoiding the risks associated with a staged approach.
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Hypothesis-generating for single-stage beating-heart CABG with AAA repair; prospective trials needed before clinical adoption.
Abdominal aortic aneurysm (AAA) is commonly associated with coronary artery disease (CAD). Eleven patients underwent the combined operation of coronary artery bypass grafting (CABG) on the beating heart and AAA repair: 10 underwent off pump CABG and 1 patient required centrifugal pump and pulmonary assist with closed circuit because of unstable hemodynamics. All cases were discharged without severe complications and with patent coronary bypass grafts.
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Morimoto et al. (2002) studied this question.
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