• Xu'an Wang, Jun Ma, Xiuhua Dong, Yang Bai, and Dongni Zhang.
• Department of Anesthesiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
• Medicine (Baltimore). 2022 Nov 11; 101 (45): e31485e31485.

RationaleSurgery for abdominal aortic aneurysm (AAA) and concomitant severe coronary artery disease (CAD) is usually managed in a staged procedure. The anesthesia for concurrent surgery is rare and complex. In this report, we present an unusual case of undergoing simultaneous open abdominal aortic aneurysm (AAA) repair and coronary artery bypass grafting (CABG).Patient ConcernsA 70-year-old male AAA patient with concurrent triple-vessel CAD underwent a simultaneous surgery.DiagnosisThe patient underwent computed tomography angiography (CTA) and coronary angiography. He was diagnosed with AAA and triple-vessel CAD.InterventionsThe patient underwent simultaneous surgery.OutcomesThe patient underwent anesthesia and surgery smoothly and was discharged on the 13th postoperative day.LessonsThe anesthetic management of simultaneous open abdominal aortic aneurysm repair and coronary artery bypass grafting is rare and complicated. Reasonable operation and anesthesia protocols, close monitoring and management of hemodynamic changes, and appropriate cell salvage and hemostasis measures are of great significance to increase perioperative safety and reduce the risk of postoperative complications.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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