A Case of Off-Pump Coronary Artery Bypass for Multivessel Disease Combined with Repair of Abdominal Aortic Aneurysm and Bilateral Common Iliac Artery Aneurysms

A Case of Off-Pump Coronary Artery Bypass for Multivessel Disease Combined with Repair of Abdominal Aortic Aneurysm and Bilateral Common Iliac Artery Aneurysms (Department of Surgery III, Nara Medical University, Nara, Japan) Tetsuji Kawata Yoichi Kameda Nobuoki Tabayashi Takashi Ueda Michitaka Kimura Motoaki Yasukawa Shigeki Taniguchi A 76-year-old man with multivessel disease in the coronary artery and abdominal aortic aneurysm, including the bilateral common iliac artery aneurysms, underwent off-pump coronary artery bypass (OPCAB) combined with repair of the aneurysms. We were able to perform three coronary artery bypass graftings (left internal thoracic artery-left anterior descending artery, saphenous vein graft-diagonal branch, and saphenous vein graft-atrio-ventricular branch) using an Octopus 2 and a “Lima” suture technique without cardiopulmonary bypass. The postoperative course was uneventful. All grafts were patent on postoperative angiograms. OPCAB combined with repair of abdominal aortic aneurysm was useful for the high-risk patient. Jpn. J. Cardiovasc. Surg. 29: 45-48 (2000)