Combined Treatment of Endovascular Aneurysm Repair and Off-pump Coronary Artery Bypass in Cases of Abdominal Aortic Aneurysm and Coronary Artery Disease

Abstract

We performed combined treatment of endovascular aneurysm repair (EVAR) and off-pump coronary artery bypass (OPCAB) in 2 cases of abdominal aortic aneurysm and coronary artery disease. A 70-year-old man and an 83-year-old man were referred to our hospital both with triple-vessel coronary artery and abdominal aortic aneurysm. In both cases, EVAR was first performed, followed by OPCAB after heparin administration. Both patients were discharged from hospital without complications. The combined treatment of EVAR and OPCAB yielded excellent surgical outcomes for these complex cases.