Neema, Praveen KumarKumar, Arun VijayaManikandan, SRathod, Ramesh Chandra2011-11-082011-11-082009-07Neema Praveen Kumar, Kumar Arun Vijaya, Manikandan S, Rathod Ramesh Chandra. Infrarenal abdominal aortic aneurysm repair in presence of coronary artery disease: Optimization of myocardial stress by controlled phlebotomy. Annals of Cardiac Anaesthesia. 2009 Jul; 12(2): 133-135.http://imsear.searo.who.int/handle/123456789/135167The repair of abdominal aortic aneurysm (AAA) in the presence of significant coronary artery disease (CAD) carries a high-risk of adverse peri-operative cardiac event. The options to reduce cardiac risk include perioperative β-blockade, preoperative optimization by myocardial revascularization and simultaneous (combined) coronary artery bypass grafting and aneurysm repair. We describe intra-operative controlled phlebotomy to optimize myocardial stress during repair of infrarenal AAA in a patient with significant stable CAD.enCoronary artery diseaseinfrarenal abdominal aortic aneurysmphlebotomyAdrenergic beta-Antagonists --therapeutic useAgedAnesthesia, GeneralAortic Aneurysm, Abdominal --complicationsAortic Aneurysm, Abdominal --surgeryAtenolol --therapeutic useCardiac Surgical ProceduresCardiomyopathies --prevention & controlCoronary Artery Disease --complicationsHumansMaleMyocardial RevascularizationPhlebotomyArticle