One-Stage Surgery of Abdominal Aortic Aneurysm and Ischemic Heart Disease with Impaired Left Ventricular Function.
10.4326/jjcvs.26.179
- VernacularTitle:低左室機能を有する虚血性心疾患と腹部大動脈りゅうの一期的手術例
- Author:
Toshio Seki
;
Hiroji Hagihara
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1997;26(3):179-181
- CountryJapan
- Language:Japanese
-
Abstract:
A 49-year-old man with impaired left ventricular function successfully underwent a one-stage operation of coronary artery bypass grafting (CABG) and replacement of infrarenal abdominal aortic aneurysm (AAA). Left ventricular ejection fraction, left ventricular end-diastolic and mean pulmonary artery pressures were 24%, 25mmHg and 33mmHg, respectively. The AAA was 6cm in diameter and accompanied by bilateral common iliac artery aneurysm. After completion of CABG, AAA replacement was performed during extracorporeal circulation. There were no hemodynamic changes associated with aortic clamping or declamping under the mechanical cardiac assist during AAA surgery. This procedure appeared to be a feasible one-stage procedure in patients with AAA and coronary artery disease accompanied by impaired left ventricular function.
