Simultaneous Off-pump Coronary Artery Bypass Grafting and Ascending Aorto-bifemoral Bypass in Leriche Syndrome

DOI
  • Takashima Noriyuki
    Department of Cardiovascular Surgery, Shiga University of Medical Science
  • Suzuki Tomoaki
    Department of Cardiovascular Surgery, Shiga University of Medical Science
  • Hosoba Soh
    Department of Cardiovascular Surgery, Shiga University of Medical Science
  • Kinoshita Takeshi
    Department of Cardiovascular Surgery, Shiga University of Medical Science
  • Nota Hiromitsu
    Department of Cardiovascular Surgery, Shiga University of Medical Science
  • Kambara Atsushi
    Department of Cardiovascular Surgery, Shiga University of Medical Science
  • Nagayoshi Yasuhiro
    Department of Cardiovascular Surgery, Shiga University of Medical Science
  • Asai Tohru
    Department of Cardiovascular Surgery, Shiga University of Medical Science

Bibliographic Information

Other Title
  • 重症虚血性心疾患と Leriche 症候群に対する OPCAB と上行大動脈-両側大腿動脈バイパスの同時手術例

Search this article

Description

In the presence of Leriche syndrome, the lower extremities are perfused by collateral flow from internal mammary arteries. If an internal mammary artery graft is used in coronary artery surgery, an acute ischemic limb will develop postoperatively. A 52-year-old man was admitted to our department with bilateral claudication. Multidetector row computed tomography with contrast showed total occlusion of the infrarenal abdominal aorta and rich collateral flow to the lower extremities from internal mammary arteries. Cardiac angiography revealed three-vessel disease. Simultaneous coronary artery bypass grafting and an ascending aorto-bifemoral bypass were performed without cardiopulmonary bypass. Postoperative computed tomography angiography showed that grafts to the coronary and bifemoral arteries were patent. This combined procedure is useful for patients with coronary artery disease and aortoiliac occlusive disease. This procedure without cardiopulmonary bypass has not previously been reported.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top