A Case of 1-Stage Replacement of the Ascending Aorta, Coronary Artery Bypass Grafting and Revascularization of the Lower Extremities
10.4326/jjcvs.32.355
- VernacularTitle:虚血性心疾患・慢性閉塞性動脈硬化症を合併した超高齢者（８６歳）解離性胸部大動脈りゅう症例に対する一期的手術例
- Author:
Toru Mizumoto
;
Katsutoshi Adachi
;
Katsumoto Hatanaka
;
Toshihiko Kinoshita
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2003;32(6):355-357
- CountryJapan
- Language:Japanese
-
Abstract:
An 86-year-old woman was transferred to our hospital because of chest pain and left incomplete paralysis. CT-scan revealed a dissecting aortic aneurysm (DeBakey type 2) 6cm in diameter. Coronary angiography and aortography were perfomed to assess the coronary artery disease and ASO, they showed occluded LAD, 90% stenosis of CX and occluded left external iliac artery. We planned a 1-stage operation. Coronary artery bypass grafting with the beating heart was carried out prior to replacement of the ascending aorta. Then we performed femoro-femoro bypass. The postoperative course was uneventful and the patient was discharged 23 days after the operation.
