Simultaneous coronary artery disease and achalasia surgery: A novel approach

Rimantas Benetis

doi:10.5606/tgkdc.dergisi.2021.21745

Rimantas Benetis¹, Algimantas Budrikis¹, Jonas Gazdziauskas¹

¹Department of Thoracic and Vascular Surgery, Lithuanian University of Health Sciences, Clinic of Cardiac, Kaunas, Lithuania

DOI : 10.5606/tgkdc.dergisi.2021.21745

A 69-year-old female patient presented to cardiac surgery department with unstable angina due to severe coronary artery disease. Coronary artery bypass grafting was indicated; however, the patient's symptoms of achalasia, previously treated by the pneumatic dilatation, exacerbated. Subsequently, the patient underwent simultaneous surgery. After sternotomy, on cardiopulmonary bypass, esophagus was exposed and Heller myotomy was performed. Following cardioplegia, coronary artery bypass grafting was completed. The postoperative course was uneventful, and the patient was discharged on postoperative Day 9. In conclusion, this novel surgical technique can be effectively used in such cases.

Keywords : Coronary artery bypass grafting, esophageal achalasia, Heller myotomy

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