A Case of One-Stage Surgery for Abdominal Aortic Aneurysm, Arch Aneurysm and Coronary Artery Disease

(Department of Thoracic and Cardiovascular Surgery, Shingu Municipal Medical Center, Shingu, Japan and Department of Thoracic and Cardiovascular Surgery, Mie University*, Tsu, Japan)

Katsutoshi Adachi Toru Mizumoto Katsumoto Hatanaka
Iwao Hioki*
A 71-year-old man was transferred to our hospital because of impending rupture of an abdominal aortic aneurysm (AAA). Preoperative CT scan demonstrated a huge aneurysm of the aortic arch (TAA) associated with an AAA. Emergency coronary angiography revealed 3-vessel disease. One-stage surgery including TAA repair, coronary bypass surgery, and AAA repair was performed to avoid the possibility of rupture of the remaining aneurysms and the risk of ischemic heart diseases. One-stage surgery is a possible approach for patients with severe multivascular diseases.
@Jpn. J. Cardiovasc. Surg. 33: 302-305 (2004)