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One-Stage Surgical Management

Bernard Faidutti, MD; Felicien M. Steichen, MD; Francis Thevoz, MD; Charles J. Hahn, MD

AMA Arch Surg. 1972;105(5):711-714.

Abstract
Five patients underwent aorto-coronary saphenous vein bypass graft simultaneously with other necessary arterial reconstructive procedures: (1) ascending aortorrhaphy for dissecting aneurysm; (2) resection of left ventricular and aorto-iliac aneurysms; (3) patch graft for stenosis of the origin of the right vertebral artery and endarterectomy of the right common carotid; (4) resection of ascending aorta and replacement of aortic valve for aortic aneurysm; and (5) Dacron bypass from ascending aorta to subclavian and common carotid arteries. Despite the length of the operative procedure (one was 11 hours) all survived and were doing well on discharge. One died three months later at home.

Author Affiliations
Geneva

From the Department of Cardiovascular Surgery, Hópital Cantonal; and the University of Geneva Medical School, Geneva. Dr. Steichen is now with Montefiore Hospital, University of Pittsburgh School of Medicine, Pittsburgh, and Dr. Thevoz is with the Allegheny General Hospital, Pittsburgh.

Footnotes
Accepted for publication May 17, 1972.

Reprint requests to 3459 Fifth Ave, Pittsburgh 15213 (Dr. Steichen).

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