Simultaneous Surgery for Angina Pectoris and Abdominal Aortic Aneurysm with Bilateral Iliac Artery Occlusion in a Chronic Hemodialysis Patient

(Heart Circulatory Center, Southern Tohoku General Hospital and Southern Tohoku Research Institute for Neuroscience, Koriyama, Japan)

Shoichi Takahashi Megumu Kanno Tohru Sakurada
Shigehiro Morishima Masatomo Honda Yasuharu Imai
A74-year-old man with renal failure had been treated with maintenance hemodialysis for 1.5 years at another hospital. The patient had an abdominal aortic aneurysm, bilateral iliac artery occlusion and coronary artery stenosis with a lesion in the left main trunk, but had been under observation because of the high risk of surgery. The patient elected to have surgery and was admitted to our hospital. We performed simultaneous surgery for severe coronary artery stenosis and abdominal aortic aneurysm with a maximum diameter of 85mm. The postoperative course was generally uneventful, but the patient required treatment of arrhythmia. We conclude that simultaneous surgery for angina pectoris and abdominal aortic aneurysm is feasible even in hemodialysis patients. It is important to pay attention to arrhythmia in the management of such patients, especially those with decreased cardiac function.
@Jpn. J. Cardiovasc. Surg. 34: 130-133 (2005)