Off-pump CABG and Right Axillo-bifemoral Artery Bypass in a Patient with Totally Calcified Ascending Aorta and Leriche's Syndrome.
10.4326/jjcvs.30.327
- VernacularTitle:上行大動脈高度石灰化，Ｌｅｒｉｃｈｅ症候群を合併した狭心症に対し，ｏｆｆ ｐｕｍｐ ＣＡＢＧ，右えきか‐両側大腿動脈バイパス術を行った１治験例
- Author:
Koji Ogata
;
Koji Tsuchiya
;
Hideki Ozawa
;
Hideki Sasaki
;
Narutoshi Hibino
- Publication Type:Journal Article
- Keywords:
off pump CABG;
porcelain aorta
- From:Japanese Journal of Cardiovascular Surgery
2001;30(6):327-330
- CountryJapan
- Language:Japanese
-
Abstract:
A 40-year-old man was admitted because of coronary heart disease with a totally calcified ascending aorta and Leriche's syndrome. Establishing a cardiopulmonary bypass seemed to be difficult because neither the ascending aorta nor femoral artery was suitable as a cannulation site. It was not until a prosthetic conduit for revascularization of the lower extremities was anastomosed to the right axillary artery in preparation for the conversion from off-pump to on-pump that off-pump CABG was performed. Subsequently revascularization of the lower extremities was completed. The patient had a satisfactory postoperative course. Off-pump CABG is useful for patients with a severely calcified ascending aorta and occlusive lesions below the descending aorta.
