Simultaneous Off-Pump Coronary Artery Bypass and Aortic Aneurysm Repair


Authors: P. Michálek 1;  Š. Černý 2;  T. Klika 3;  J. Šoupal 3;  M. Stern 1;  P. Jehlička 2
Authors‘ workplace: Úsek kardiovaskulární anestezie a intenzivní péče ARO, Nemocnice Na Homolce, Praha, prim. MUDr. M. Ročeň2Kardiochirurgické oddělení, Nemocnice Na Homolce, Praha, prim. MUDr. Š. Černý, CSc. 3Oddělení cévní a rekonstrukční chirurgie, Nemocnice Na Homolce, P 1
Published in: Anest. intenziv. Med., , 2004, č. 1, s. 28-31
Category:

Overview

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.

Key words:
coronary artery bypass – abdominal aortic aneurysm – continuous cardiac output monitoring – transoesophagealechocardiography

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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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