Abstract
It is common to encounter patients with coexisting aortic arch aneurysm and abdominal aortic lesions. We conducted simultaneous total arch replacement and abdominal aortic surgery in 3 patients having such lesions. Mean operative time was 511 minutes and no in-hospital mortality occured. Postoperative respiratory failure was observed in an 80-year-old patient who recovered and all three patients were discharged in good condition. No other postoperative complication was seen. Simultaneous total arch replacement and abdominal aortic surgery may thus offer advantages to patients with such double aortic lesions if it can be conducted safely.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
King RC, Parrino PE, Hurst JL, Shockey KS, Tribble CG, Kron IL. Simultaneous coronary artery bypass grafting and abdominal aneurysm repair decreases stay and costs. Ann Thorac Surg 1998; 66: 1273–6.
Kazui T, Washiyama N, Muhammad BAH, Terada H, Yamashita K, Takinami M. Improved results of atherosclerotic arch aneurysm using a refined technique. J Thorac Cardiovasc Surg 2001; 121: 491–9.
Kazui T, Washiyama N, Muhammad BAH, Terada H, Yamashita K, Takinami M, et al. Total arch replacement using aortic arch branched grafts with the aid of antegrade selective cerebral perfusion. Ann Thorac Surg 2000; 70: 3–8.
Tada Y, Kamiya K, Shindo S, Kobayashi M, Iyori K, Ishimoto T, et al. Simultaneous repair of arch and abdominal aortic aneurysms. Jpn J Thorac Cardiovasc Surg 1999; 47: 419–24.
Ogino H, Ueda Y, Sugita T, Sakakibara Y, Matsuyama K, Matsubayashi K, et al. Single-stage surgery for distal aortic arch aneurysm and infrarenal abdominal aortic aneurysm through anterolateral approach. Ann Thorac Cardiovasc Surg 1999; 5: 62–4.
Blackbourne LH, Tribble CG, Langenburg SE, Mauney MC, Buchanan SA, Sinclair KN, et al. Optimal timing of abdominal aortic aneurysm repair after coronary artery revascularization. Ann Surg 1994; 219: 693–8.
Mohr FW, Falk V, Autschbach R, Diegeler A, Schorn B, Weyland A, et al. One-stage surgery of coronary arteries and abdominal aorta in patients with impaired left ventricular function. Circulation 1995; 91: 379–85.
David TE. Combined cardiac and abdominal aortic surgery. Circulation 1985; 72 (Suppl. II.): 18–21.
Westaby S, Parry A, Grebenik R, Pilliai R, Lamont P. Combined cardiac and abdominal aortic aneurysm operations. J Thorac Cardiovasc Surg 1992; 104: 990–5.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Washiyama, N., Kazui, T., Yamashita, K. et al. Simultaneous total arch replacement and abdominal aortic surgery. Jpn J Thorac Caridovasc Surg 49, 473–475 (2001). https://doi.org/10.1007/BF02913917
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02913917