ABSTRACT 106

OFF-PUMP CORONARY ARTERY BYPASS GRAFTING SIMULTANEOUSLY COMBINED WITH VASCULAR SURGERY

Tetsuji Kawata, Nobuoki Tabayashi, Takehisa Abe, Tsuyoshi Tsuji, and Shigeki Taniguchi
Department of Surgery III, Nara Medical University, Nara, JAPAN

Objective: We describe our experience with off-pump coronary artery bypass grafting (OPCAB) simultaneously combined with vascular surgery.

Patients & Methods: Between March 1997 and August 2000, OPCAB combined with vascular surgery were performed in 18 patients (14 males, 4 females; mean age, 71 years). Combined vascular procedures included repair of infrarenal abdominal aortic aneurysm in 14 patients, repair of thoraco-abdominal aortic aneurysm (Crawford IV) in 1 patient, axillo-bilateral femoral bypass in 1 patient, femoro-popliteal bypass in 2 patients. In 10 patients LITA-LAD was performed through a left anterior small thoracotomy. In 8 patients OPCAB using Octopus was performed through median sternotomy.

Results: Twenty-seven anastomoses were performed (1-4 graft / pt). No patients had conversion to CPB or perioperative myocardial infarction. One (5.5%) patient died postoperatively due to interstitial pneumonia. In the other patients, the postoperative courses were uneventful. There was neither angina recurrence nor other morbidity during the follow up periods (1-41 months).

Conclusion: OPCAB simultaneously combined with vascular surgery was a safe and useful procedure.