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Ann Vasc Surg ; 73: 557-560, 2021 May.
Article in English | MEDLINE | ID: covidwho-1312937


Aneurysms and occlusive pathologies of the aorta are frequently associated with atherosclerosis; however, thoracoabdominal aortic aneurysm accompanied by Leriche syndrome is an extremely rare condition with challenging treatment strategy and without established surgical treatment protocols. In this report, we present our treatment strategy in a 64-year-old male patient with ischemic heart disease and type 5 thoracoabdominal aortic aneurysm accompanied by Leriche syndrome.

Aortic Aneurysm, Thoracic/surgery , Blood Vessel Prosthesis Implantation , Coronary Artery Bypass , Coronary Artery Disease/surgery , Leriche Syndrome/surgery , Saphenous Vein/transplantation , Aortic Aneurysm, Thoracic/complications , Aortic Aneurysm, Thoracic/diagnostic imaging , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/instrumentation , COVID-19/complications , COVID-19/diagnosis , Coronary Artery Disease/complications , Coronary Artery Disease/diagnostic imaging , Fatal Outcome , Humans , Leriche Syndrome/complications , Leriche Syndrome/diagnostic imaging , Male , Middle Aged , Polyethylene Terephthalates , Treatment Outcome
Ann Thorac Surg ; 110(5): e449-e450, 2020 11.
Article in English | MEDLINE | ID: covidwho-506081


The COVID-19 pandemic has necessitated that operating room procedures be modified to ensure the safety of staff and patients. Specifically, procedures that have the potential to create aerosolization must be reassessed, given the risk of viral transmission via aerosolization. We present the use of a nonsealed endoscopic vessel harvesting approach during coronary surgery that does not necessitate the use of CO2 insufflation and utilizes suction through an ultra low particulate filter, thus mitigating the risk of possible viral transmission via aerosolization or surgical smoke production. This approach is technically feasible and can minimize the risk of viral transmission during endoscopic vessel harvesting.

Betacoronavirus , Coronary Artery Bypass/methods , Coronary Artery Disease/surgery , Coronavirus Infections/epidemiology , Endoscopy/methods , Pneumonia, Viral/epidemiology , Saphenous Vein/transplantation , Tissue and Organ Harvesting/methods , Aged , COVID-19 , Comorbidity , Coronary Artery Disease/epidemiology , Female , Humans , Male , Pandemics , SARS-CoV-2