A Case of Popliteal Endarterectomy in a Patient Post CABG

VernacularTitle:冠動脈バイパス術後の膝窩動脈内膜摘除術の1例
Author: Kazunori HASHIMOTO ¹ ; Harunobu MATSUMOTO ² ; Takayuki YAMAMOTO ¹ ; Tetsuya SATO ¹ ; Satoshi ITO ¹
Author Information

1. Department of Cardiovascular Surgery, Yokohama City Minato Red Cross Hospital
2. Department of Vascular Surgery, Saitama Medical University Hospital
Keywords: arteriosclerosis obliterans; endarterectomy; popliteal artery occlusion
From:Japanese Journal of Cardiovascular Surgery 2022;51(3):183-186
CountryJapan
Language:Japanese
Abstract: A 74-year-old man having a right refractory foot ulcer was referred to our hospital with a diagnosis of arteriosclerosis obliterans. Angiography of the lower extremities showed occlusive lesions in the middle popliteal artery and lower-leg arteries. Preoperative examination revealed decreased cardiac function and severe stenosis of the left and right coronary arteries. Therefore, we first performed coronary artery bypass grafting, followed by revascularization of the lower limbs at a later date. Owing to the lack of suitable autologous vein grafts, our procedure of choice was popliteal endarterectomy via a posterior approach with short saphenous vein angioplasty. The patient's foot ulcer healed completely following surgery. His postoperative course was uneventful, and he remained symptom-free during a 1-year follow-up.