Pastore Dakota, Higgins Sabrina, James Taylor, Hooda Zamaan, Shenasen Pasha, Therionos Alexios, Bustamante John Paul, Beniwal Jagbir, Connolly Mark, Danks John
Department of Surgery, St. Joseph's University Medical Center, 703 Main St. Paterson, NJ 07503, United States.
J Surg Case Rep. 2024 Oct 28;2024(10):rjae672. doi: 10.1093/jscr/rjae672. eCollection 2024 Oct.
Coronary artery disease occurs when coronary vessels are unable to supply adequate oxygen to the myocardium, while an abdominal aortic aneurysm (AAA) is a dilatation of the abdominal aorta. Both conditions have similar risk factors such as smoking and hypertension. If these disease processes become severe and are left untreated, life-threatening consequences may occur. We present a 71-year-old male with prior myocardial infarction and an infrarenal AAA that underwent a rare combined procedure of coronary artery bypass grafting (CABG) and open AAA repair surgery. The CABG involved grafting the left internal mammary artery and saphenous vein to coronary arteries while the AAA repair used an 18-mm bifurcated aortic graft. Combined CABG and open AAA repair is complex and rare, but aims to reduce mortality and prevent aneurysm rupture in patients with severe comorbid conditions. The patient's positive postoperative outcome highlights the procedure's efficacy in select cases.
当冠状动脉无法向心肌提供足够的氧气时，就会发生冠状动脉疾病，而腹主动脉瘤（AAA）是腹主动脉的扩张。这两种病症有相似的风险因素，如吸烟和高血压。如果这些疾病进程变得严重且未得到治疗，可能会出现危及生命的后果。我们介绍一位71岁男性，他既往有心肌梗死病史且患有肾下腹主动脉瘤，接受了罕见的冠状动脉旁路移植术（CABG）和开放性腹主动脉瘤修复手术联合治疗。冠状动脉旁路移植术包括将左乳内动脉和大隐静脉移植到冠状动脉，而腹主动脉瘤修复使用了一个18毫米的分叉主动脉移植物。冠状动脉旁路移植术和开放性腹主动脉瘤修复联合手术复杂且罕见，但旨在降低患有严重合并症患者的死亡率并预防动脉瘤破裂。患者术后的良好结果突出了该手术在特定病例中的疗效。
