1.Treatment for Ischemic Heart Disease as a Comorbidity of Leriche Syndrome
Manabu Shiraishi ; Atsushi Yamaguchi ; Koichi Yuri ; Kazunari Nemoto ; Kazuhiro Naito ; Kenichiro Noguchi ; Hideo Adachi
Japanese Journal of Cardiovascular Surgery 2011;40(3):86-88
The aim of this study was to clarify the comorbidities of patients with Leriche syndrome and ischemic heart disease. We enrolled 26 patients with Leriche syndrome and who had undergone preoperative coronary angiography were enrolled. The comorbidities of diabetes, hypertension, and coronary artery disease developed in more than half of Leriche patients with Leriche syndrome. Marked coronary artery disease was diagnosed in 14 patients, 7 of whom underwent coronary artery bypass surgery. The Revascularization procedures performed in patients with Leriche syndrome were anatomical aortofemoral bypass in 15 and an extra-anatomical axillofemoral bypass in 9. In 2 cases of extra-anatomical bypass, occlusion developed in the long-term.
2.Postoperative Atrial Fibrillation Following Off-pump Coronary Artery Bypass Grafting
Manabu Shiraishi ; Atsushi Yamaguchi ; Koichi Yuri ; Kazunari Nemoto ; Kazuhiro Naito ; Kenichiro Noguchi ; Hideo Adachi
Japanese Journal of Cardiovascular Surgery 2011;40(5):227-230
It has been demonstrated that atrial fibrillation (AF) frequently occurs after coronary artery bypass grafting (CABG) and may cause cerebral infarction. The purpose of this research is to clarify the risk factors of AF in patients who underwent off-pump CABG (OPCABG). In this study, 142 patients (111 men and 31 women) were enrolled with an average age of 67 years old (range, 33-83). According to multivariate analysis, age and the preoperative peak early (E)/late (A) diastolic velocities ratio (E/A) were the independent predictors of postoperative AF. Patients who suffered from postoperative AF required a significantly longer hospital stay.