Coronary bypass surgery on the beating heart and surgery of an abdominal aortic aneurysm in the same operative session.

The authors report sequential association during the same general anaesthet ic of coronary bypass surgery on the beating heart and surgery of an abdomi nal aortic aneurysm. Two aorto-coronary bypass grafts were carried out without cardiopulmonary b ypass using the two pediculated internal mammary arteries (without manipula tion of the ascending aorta), followed, after closure of the chest and moni toring in the operating theatre for one hour, by reinstallation of the pati ent for treatment of an infra-renal abdominal aortic aneurysm by classical prosthetic implantation. The postoperative course was uncomplicated. Sequential management of coronary revascularisation without cardiopulmonary bypass and aortic aneurysmal lesions during the same anaesthetic provides an alternative to classical two-stage surgery in selected patients.