Off-Pump Reduction Aortoplasty with Coronary Artery Bypass Grafting: 3 Cases

Adnan Yalçınkaya, Adem İlkay Di̇ken, Gökhan Lafçı, Ahmet Kuddusi İrdem, Kerim Çağlı

Keywords: Ascending aorta, aortic aneurysm, coronary artery disease, off-pump coronary artery bypass, wrapping

Abstract

Coronary artery disease with ascending aorta aneurysm surgery may be troublesome for both the surgeon and the patient. Because so many patients have other concomitant diseases such as cancer, severe left ventricular dysfunction, hemodialysis-dependent chronic renal failure, poor nutritional status, obesity, chronic obstructive pulmonary disease (COPD), and cerebrovascular event history. These diseases increase the risk of postoperative mortality and morbidity because of the use of extracorporeal circulation and aortic cross-clamping intraoperative. Off-pump reduction aortoplasty may be the right decision for risky patients with ascending aortic aneurysm and coronary artery disease. This report presents 3 cases of off-pump reduction aortoplasty and concomitant coronary artery bypass grafting (CABG).