Simultaneous and staged grafting of descending aorta with aorto-coronary bypass

One hundred and six patients with aneurysm of descending thoracic aorta (ADTA) and thoracoabdominal aneurysm of aorta (TAAA) has been operated, aorto-coronary bypass (ACB) has been performed at 5 (4.7%) of them, including 4 cases of simultaneous and 1 case of staged ACB with grafting of descending and thoracoabdominal aorta. It is demonstrated that If coronary syndrome prevails over other symptoms then surgical revascularization of myocardium through sternotomy can be performed as first stage, and in 2-3 weeks - aorta grafting trough thoracotomy or thoracophrenolaparotomy.