A Case of One-Stage Surgery for Abdominal Aortic Aneurysm, Arch Aneurysm and Coronary Artery Disease
10.4326/jjcvs.33.302
- VernacularTitle:弓部大動脈りゅうと冠動脈疾患を合併した腹部大動脈りゅう切迫破裂に対して一期的手術を施行した1例
- Author:
Katsutoshi Adachi
;
Toru Mizumoto
;
Katsumoto Hatanaka
;
Iwao Hioki
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(4):302-305
- CountryJapan
- Language:Japanese
-
Abstract:
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.