Coronary Artery Bypass Surgery in Patients with Abdominal Aortic Aneurysm : Detection and Treatment of Concomitant Coronary Artery Disease

Cardiac complications constitute the principal cause of early and late morbidity and mortality after the surgical treatment of abdominal aortic aneurysm (AAA). The importance of preoperative evaluation of the coronary artery and a required myocardial revascularization has been emphasized for the improvement of early, and late survival after AAA repair. When significant coronary artery disease (CAD) is present in patients scheduled for AAA repair, treatment of CAD will be selected from percutaneous transluminal coronary angioplasty (PTCA), coronary artery bypass grafting (CABG), or medical treatment on the basis of the severity of coronary artery lesions and ischemic symptoms. There have been many reports demonstrating the incidence of CAD in AAA, and the reported incidence ranged from 40 to 60%. In this report, we focused on the patients who required CABG Coronary Artery Bypass Surgery in Patients with Abdominal Aortic Aneurysm: Detection and Treatment of Concomitant Coronary Artery Disease