Coronary and arch hybrid surgery in a patient with infrarenal aortic occlusion

Asian Cardiovasc Thorac Ann. 2018 Feb;26(2):148-150. doi: 10.1177/0218492318755181. Epub 2018 Jan 16.

Abstract

A 65-year-old gentleman with claudication underwent contrast-enhanced computed tomography. The scan showed occlusion of the infrarenal abdominal aorta and a 6.0 × 3.7 cm saccular zone-3 arch aneurysm. The left ventricular ejection fraction was 35% and a coronary angiogram revealed triple-vessel disease. In view of the patient's high risk with EuroSCORE II 20.34%, coronary artery surgery was combined with hybrid type I arch aneurysm repair. An endovascular stent was delivered in an antegrade manner. Open heart surgery and a hybrid type I arch intervention can be performed simultaneously through a midline sternotomy approach.

Keywords: Aorta; Aortic aneurysm; Blood vessel prosthesis implantation; Cardiopulmonary bypass; Coronary artery bypass; Endovascular procedures; thoracic.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Abdominal* / diagnostic imaging
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Diseases / complications*
  • Aortic Diseases / diagnostic imaging
  • Aortography / methods
  • Arterial Occlusive Diseases / complications*
  • Arterial Occlusive Diseases / diagnostic imaging
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Computed Tomography Angiography
  • Constriction, Pathologic
  • Coronary Artery Bypass*
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / surgery*
  • Endovascular Procedures* / instrumentation
  • Humans
  • Male
  • Stents
  • Sternotomy
  • Treatment Outcome