J.Jpn. Surg. Soc.. 92(3): 346-350, 1991
Original article
OPERATIONS FOR PATIENTS COMBINED WITH CORONARY ARTERIAL OBSTRUCTIVE DISEASE AND AORTIC DISEASE
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Department of Thoracic Surgery, School of Medicine Nagoya University, Nagoya, Japan Shuji Tamaki, Toshio Abe |
Group I: Nine patients underwent simultaneous surgical treatment for CAOD and AoD. Two patients died from non cardiac origins.
Group II: Fourteen patients underwent the coronary artery bypass graft (CABG) prior to the operation for AoD. There was no operative death.
Group III: There were 12 patients who underwent surgical treatment for AoD only. There were 3 operative deaths and 2 of them died from myocardial infarction.
Group IV: There were 3 patients who underwent operation for AoD prior to CABG. Two of them were diagnosed CAOD at more than 22 months after the operation for AoD.
Group V: Five patients who underwent no operation for CAOD or AoD. There were three deaths during the follow up period. The causes of their deaths were cardiac or non cardiac.
From these results, the surgical management of the patients having both CAOD and AoD were speculated as follows.
1) Operation for CAOD should be preferential.
2) Simultaneous operations may be performed in following situations:
i) same operative field,
ii) emergent operation needed for both CAOD and AoD,
iii) smaller risk of AoD operation.
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