J.Jpn. Surg. Soc.. 92(7): 847-851, 1991

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Original article

CORONARY ARTERY BYPASS GRAFTING COMBINED WITH OPERATION FOR NON-CARDIAC DISEASE

During the last two years and six months, ten patients underwent operation for both coronary artery disease and non-cardiac surgery. There were six patients with vascular disease, three with gastric cancer and one with cholelithiasis. Six patients had simultaneous operation of both coronary artery bypass grafting (CABG) and non-cardiac surgery, and four underwent non-cardiac surgery mean of 105 days after CABG. The number of significant lesions of coronary artery in patients with simulataneous or two-staged operation was 2.2±0.8 or 2.8±0.5 per patient, respectively. The operative time in patients with simulataneous operation was 361±49 minutes. However, in patients with staged operatiori the time for cardiac surgery was 380±36 minutes and the time for non-cardiac operation was 388±83 minutes.
There were no patients with complications after either cardiac or non-cardiac operation. In patients having surgical indications for both coronary artery and non-cardiac diseases, CABG should be performed prior to the non-cardiac surgery. In patients with normal cardiac function and sufficient operative time after CABG, concomitant operation seemed to be recommended. In case with advanced malignant disease or incompetent cardiac function, staged operation would be selected for good surgical result.

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