A Case Report of One-Staged Coronary Artery Bypass Grafting and Revascularization of the Lower Extremities for Severe Ischemic Heart Disease and Leriche's Syndrome.
10.4326/jjcvs.31.146
- VernacularTitle:重症虚血性心疾患とＬｅｒｉｃｈｅ症候群合併症例に対し，冠状動脈バイパス術と下肢血行再建術を一期的に施行した１例
- Author:
Tatsuichiro Seto
;
Hiroto Kitahara
;
Yuko Wada
;
Tsuneo Nakajima
;
Takehiko Furusawa
;
Tamaki Takano
;
Hirohumi Nakano
;
Jun Amano
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(2):146-149
- CountryJapan
- Language:Japanese
-
Abstract:
A 44-year-old man was given a diagnosis of severe ischemic heart disease and Leriche's syndrome. He had critical ischemia in the lower extremities and ischemic gangrene in a toe of the left foot. We planned a one-stage operation for these fatal diseases. To prevent irreversible ischemia of the lower limbs after mobilization of internal thoracic arteries or during extracorporeal circulation, we performed aorto-ilio femoral bypass grafting with extra-peritoneal approach first. Then conventional coronary artery bypass grafting was carried out for three coronary arteries with bilateral internal thoracic arteries (ITAs) and the saphenous vein. The postoperative course was uneventful.
