Femoro-axillary cardiopulmonary bypass for giant abdominal aortic aneurysm repair prior to staged cardiac operation for ischaemic cardiomyopathy

Marco Pocar, Andrea Moneta, Davide Passolunghi, Francesco Donatelli

Research output: Contribution to journalArticle

Abstract

The optimal surgical management of simultaneous abdominal aortic aneurysm and cardiac disease remains a major challenge in case of larger aneurysms and severe cardiac disease. In case of symptomatic aneurysms or impending rupture, a single-stage combined operation is the most widely accepted procedure. We report the successful use of closed-chest cardiopulmonary bypass, with femoral venous and axillary arterial peripheral cannulation, to support cardiac function on the beating heart during resection of a giant abdominal aortic aneurysm and ischaemic cardiomyopathy. One month later, the patient underwent a second-stage deferred cardiac operation, consisting of triple coronary bypass grafting, undersized mitral annuloplasty and epicardial left ventricular lead implantation for cardiac resynchronisation therapy.

Original languageEnglish
Pages (from-to)972-974
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume37
Issue number4
DOIs
Publication statusPublished - Apr 2010

Keywords

  • Aortic aneurysm
  • Assisted circulation
  • Cardiopulmonary bypass
  • Cardiovascular surgical procedures
  • Coronary artery bypass
  • Heart valve disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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