| Simultaneous Surgery for Angina
Pectoris and Abdominal Aortic Aneurysm with Bilateral Iliac Artery
Occlusion in a Chronic Hemodialysis Patient |
(Heart Circulatory Center, Southern Tohoku General
Hospital and Southern Tohoku Research Institute for Neuroscience,
Koriyama, Japan)
| Shoichi Takahashi |
Megumu Kanno |
Tohru Sakurada |
| Shigehiro Morishima |
Masatomo Honda |
Yasuharu Imai |
|
A74-year-old man with renal failure
had been treated with maintenance hemodialysis for 1.5 years
at another hospital. The patient had an abdominal aortic aneurysm,
bilateral iliac artery occlusion and coronary artery stenosis
with a lesion in the left main trunk, but had been under observation
because of the high risk of surgery. The patient elected to have
surgery and was admitted to our hospital. We performed simultaneous
surgery for severe coronary artery stenosis and abdominal aortic
aneurysm with a maximum diameter of 85mm. The postoperative course
was generally uneventful, but the patient required treatment
of arrhythmia. We conclude that simultaneous surgery for angina
pectoris and abdominal aortic aneurysm is feasible even in hemodialysis
patients. It is important to pay attention to arrhythmia in the
management of such patients, especially those with decreased
cardiac function.
Jpn. J. Cardiovasc. Surg. 34: 130-133 (2005) |
|
