Two Cases of Combined Performance of Endovascular Aortic Aneurysm Repair (EVAR) and Off-Pump Coronary Artery Bypass Grafting (OPCAB)

So Motono＊	Masami Sotokawa＊	Yushi Katagiri＊
Shingo Otaka＊	Koji Seki＊	Tetsuyuki Ueda＊

(Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital＊, Toyama, Japan)

Concomitant occurrence of coronary arterial disease (CAD) with abdominal aortic aneurysm (AAA) is not rare. Combined performance of open surgery (OS) of AAA repair and coronary arterial bypass grafting (CABG) has been reported to be effective as the way to avoid the risk of rupture of the aneurysm and acute coronary syndrome (ACS), while it’s highly invasive. We successfully performed a combination performance of endovascular aneurysm repair (EVAR) and off-pump CABG (OPCAB) with the support of an intra-aortic balloon pump (IABP) in 2 cases with AAA and unstable angina pectoris (UAP). It was suggested that this strategy is a reasonable clinical option for the patient with UAP complicated with large AAA.

 

Jpn. J. Cardiovasc. Surg. 51: 235-239 （2022）

Keywords：abdominal aortic aneurysm (AAA); coronary arterial disease (CAD); acute coronary syndrome (ACS); endovascular aneurysm repair (EVAR); off-pump coronary artery bypass grafting (OPCAB); combined performance