Abstract
The aim of this study was to evaluate the outcome of total aortic arch replacement (TAR) combined with coronary artery bypass grafting (CABG). From January 2002 to May 2012, 79 consecutive patients underwent TAR. Of these, 48 patients underwent isolated TAR and 31 patients underwent TAR combined with CABG. The mean number of coronary anastomoses was 1.6±0.8. There were no hospital deaths. Stroke occurred in 6.4% of patients. All of these patients had coronary artery disease. There were no differences in survival or freedom from cardio-aortic events in the isolated TAR versus TAR combined with CABG. The outcomes of TAR combined with CABG were satisfactory. However, special attention should be paid to the possibility of postoperative stroke in these patients.
