Two Cases of Combined Performance of Endovascular Aortic Aneurysm Repair (EVAR) and Off-Pump Coronary Artery Bypass Grafting (OPCAB)
- VernacularTitle:腹部大動脈瘤を合併した不安定狭心症に対して腹部大動脈ステントグラフト内挿術とオフポンプ冠動脈バイパス術を一期的に施行した2症例
- Author:
So MOTONO
1
;
Masami SOTOKAWA
1
;
Yushi KATAGIRI
1
;
Shingo OTAKA
1
;
Koji SEKI
1
;
Tetsuyuki UEDA
1
Author Information
- 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
- From:Japanese Journal of Cardiovascular Surgery 2022;51(4):235-239
- CountryJapan
- Language:Japanese
- Abstract: 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.
