SIMULTANEOUS REPAIR OF INFRARENAL AORTIC-ANEURYSM WITH CORONARY-ARTERY BYPASS

Patients with coronary artery disease can exhibit substantial vascular involvement; and vascular patients have a high incidence of coronary disease. Combined coronary artery bypass grafting and repair of the infrarenal aorta because of aneurysm was performed in 36 patients. Overall hospital mortality was 2.7%. Clinical presentation determined the risk of combined operation; early mortality is much higher in urgent or emergent cases than in elective procedures. Eight-year actuarial survival was 87%. Combined coronary and vascular procedures can be performed with acceptable risk and encouraging long-term results. They may improve prognosis in patients with diffuse vascular diseases.