Simultaneous Off-pump Coronary Artery Bypass Grafting and Ascending Aorto-bifemoral Bypass in Leriche Syndrome
10.4326/jjcvs.41.152
- VernacularTitle: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
- Author:
Noriyuki Takashima
;
Tomoaki Suzuki
;
Soh Hosoba
;
Takeshi Kinoshita
;
Hiromitsu Nota
;
Atsushi Kambara
;
Yasuhiro Nagayoshi
;
Tohru Asai
- Publication Type:Journal Article
- Keywords:
Leriche syndrome;
ischemic heart disease;
coronary artery bypass grafting
- From:Japanese Journal of Cardiovascular Surgery
2012;41(3):152-155
- CountryJapan
- Language:Japanese
-
Abstract:
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.
