Coronary and arch hybrid surgery in a patient with infrarenal aortic occlusion. (February 2018)

• Record Type: Journal Article
• Authors: Koh, Teng Kiat; Ting, Jocelyn Zi Lin; Wee, Bernard; Khamitov, Rustem; Teoh, Kristine; Wong, Julian; Sorokin, Vitaly A
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 26:Number 2(2018)
• Page Start: 148
• Page End: 150
• Publication Date: 2018-02
• Subjects: Aorta -- thoracic -- Aortic aneurysm -- Blood vessel prosthesis implantation -- Cardiopulmonary bypass -- Coronary artery bypass -- Endovascular procedures; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492318755181
• Languages: English
• ISSNs: 0218-4923

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.