Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1995 June; 88(6): 350P–352P.
PMCID: PMC1295245

Combined coronary artery bypass surgery and abdominal aortic aneurysm repair.


The proper management of patients with asymptomatic abdominal aortic aneurysms and significant coexistent coronary artery disease is still debatable. The most common approach has been to perform the coronary artery bypass surgery some weeks before the abdominal aortic aneurysm repair in the hope of reducing the cardiac morbidity and mortality. We report our initial experience of three consecutive elective cases where the coronary artery bypass surgery and the abdominal aortic aneurysm repair were performed at one operation by the same operating surgeon.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (537K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Brown OW, Hollier LH, Pairolero PC, Kazmier FJ, McCready RA. Abdominal aortic aneurysm and coronary artery disease. Arch Surg. 1981 Nov;116(11):1484–1488. [PubMed]
  • Darling RC, Brewster DC. Elective treatment of abdominal aortic aneurysms. World J Surg. 1980 Nov;4(6):661–666. [PubMed]
  • Hertzer NR. Fatal myocardial infarction following abdominal aortic aneurysm resection. Three hundred forty-three patients followed 6--11 years postoperatively. Ann Surg. 1980 Nov;192(5):667–673. [PubMed]
  • Hollier LH, Plate G, O'Brien PC, Kazmier FJ, Gloviczki P, Pairolero PC, Cherry KJ. Late survival after abdominal aortic aneurysm repair: influence of coronary artery disease. J Vasc Surg. 1984 Mar;1(2):290–299. [PubMed]
  • Emery RW, Ott RA, Bernhard V, Copeland JG, Gallo JA. Surgical approach to combined coronary revascularization and abdominal aortic aneurysmectomy. J Cardiovasc Surg (Torino) 1988 Mar-Apr;29(2):143–145. [PubMed]
  • Grebenik CR, Trinca JJ. Abdominal aortic aneurysm repair and coronary artery grafting as a combined procedure on cardiopulmonary bypass. J Cardiothorac Anesth. 1989 Aug;3(4):473–476. [PubMed]
  • Ruby ST, Whittemore AD, Couch NP, Collins JJ, Cohn L, Shemin R, Mannick JA. Coronary artery disease in patients requiring abdominal aortic aneurysm repair. Selective use of a combined operation. Ann Surg. 1985 Jun;201(6):758–764. [PubMed]
  • Whittemore AD, Clowes AW, Hechtman HB, Mannick JA. Aortic aneurysm repair. Reduced operative mortality associated with maintenance of optimal cardiac performance. Ann Surg. 1980 Sep;192(3):414–421. [PubMed]
  • Westaby S, Parry A, Grebenik CR, Pillai R, Lamont P. Combined cardiac and abdominal aortic aneurysm operations. The dual operation on cardiopulmonary bypass. J Thorac Cardiovasc Surg. 1992 Oct;104(4):990–995. [PubMed]
  • Colman RW. Platelet and neutrophil activation in cardiopulmonary bypass. Ann Thorac Surg. 1990 Jan;49(1):32–34. [PubMed]
  • Rinder CS, Bohnert J, Rinder HM, Mitchell J, Ault K, Hillman R. Platelet activation and aggregation during cardiopulmonary bypass. Anesthesiology. 1991 Sep;75(3):388–393. [PubMed]
  • Friedenberg WR, Myers WO, Plotka ED, Beathard JN, Kummer DJ, Gatlin PF, Stoiber DL, Ray JF, 3rd, Sautter RD. Platelet dysfunction associated with cardiopulmonary bypass. Ann Thorac Surg. 1978 Apr;25(4):298–305. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press