Thrombotic Occlusion of an Abdominal Aortic Aneurysm with Coronary Artery Disease

Abstract

Thrombotic occlusion of an abdominal aortic aneurysm (AAA) is comparatively rare. We performed simultaneous operations of a patient who had a natural thrombotic occlusion of an AAA complicated by coronary artery disease. This patient was an 83-year-old woman with a chief compliant of bilateral limb pain. On the preoperative examination, the maximum diameter of AAA was 57 mm, and it was occluded from below the renal artery and both the external iliac artery and the femoral artery were patent. She also had coronary artery disease with severe stenosis of the left anterior descending artery, and complicated by moderate aortic valvular stenosis. Therefore we performed simultaneous operation of the minimally invasive direct coronary artery bypass and abdominal aorta to both external iliac artery bypass. She left hospital without the intermittent claudication on the 35th postoperative day.