One-Stage Off-Pump CABG and Y Graft Replacement of the Abdominal Aorta in a Patient with Ischemic Heart Disease and Leriche's Syndrome
10.4326/jjcvs.33.410
- VernacularTitle:虚血性心疾患を合併したＬｅｒｉｃｈｅ症候群患者に対する一期的手術の１例―ＯＰＣＡＢと解剖学的下肢血行再建術―
- Author:
Toru Mizumoto
;
Katsutoshi Adachi
;
Katsumoto Hatanaka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(6):410-413
- CountryJapan
- Language:Japanese
-
Abstract:
A 68-year-old man with unstable angina after old myocardial infarction, and Leriche's syndrome was admitted. Coronary angiography found 90% stenosis of the left anterior descending artery (LAD), 99% stenosis of the diagonal branch, 99% stenosis of the right coronary artery (RCA), and 90% stenosis of the 4-posterior descending branch (4 PD). Left circumflex artery (LCX) was diffusely stenotic and small. Aortography revealed complete occlusion of the infrarenal aorta. Due to the risk of limb-threatening ischemia, we planned simultaneous revascularization of myocardium and the lower extremities. Off-pump coronary artery bypass (OPCAB) was performed first. Subsequently Y graft replacement of abdominal aorta was completed. The postoperative course was uneventful and he was discharged on the 14th day after operation.
