Anest. intenziv. Med. 2004;15(1):28-31

Simultaneous Off-Pump Coronary Artery Bypass and Aortic Aneurysm RepairArticles

P. Michálek¹, Š. Černý², T. Klika³, J. Šoupal³, M. Stern¹, P. Jehlička²

¹ Úsek kardiovaskulární anestezie a intenzivní péče ARO, Nemocnice Na Homolce, Praha, prim. MUDr. M. Ročeň

² Kardiochirurgické oddělení, Nemocnice Na Homolce, Praha, prim. MUDr. Š. Černý, CSc.

³ Oddělení cévní a rekonstrukční chirurgie, Nemocnice Na Homolce, P

Simultaneous coronary artery bypass and aortic aneurysm repair is a rarely performed procedure.We describe one case of 80-years old man with unstable angina and concurrent symptomatic abdominal aortic aneurysm.The patient was indicated for simultaneous coronary artery revascularization and abdominal aortic aneurysm repair withthe need of supracoeliac aortic clamping. Preoperative evaluation, perioperative monitoring, the strategy of anaesthetic andsurgical approach and postoperative course are described in detail.In the discussion, we analyze the possibilities of anaesthetic and surgical technique in this procedure, the possibilities oforgan preservation, assurance of adequate vital signs monitoring and perioperative analgesia.

Keywords: coronary artery bypass; abdominal aortic aneurysm; continuous cardiac output monitoring; transoesophagealechocardiography

Published: February 1, 2004  Show citation