| A Case of Combined Operation
for Aortic Regurgitation with Low Cardiac Function and Arteriosclerosis
Obliterans |
(Department of Cardiovascular Surgery, Hachioji
Medical Center of Tokyo Medical University and Second Department
of Surgery, Tokyo Medical University*, Tokyo, Japan)
| Naoki Konagai |
Mitsunori Maeda |
Hiromi Yano |
| Tatsuhiko Kudo |
Shin Ishimaru* |
|
|
Coronary artery disease is common
in patients with abdominal aortic aneurysm and arteriosclerosis
obliterans, and one-stage or two-stage coronary artery bypass
grafting have been performed. However, few operative cases of
concomitant heart valve disease and arteriosclerotic disease
have been reported. This case presented with severe aortic valve
regurgitation (LVEF24.3%) and arteriosclerosis obliterans (ASO)
of both iliac arteries. To maintain the IABP catheter route and
to prevent lower limb ischemia, aortic valve replacement with
a bileaflet mechanical valve and abdominal aortic replacement
with a bifurcated graft were carried out simultaneously. In spite
of the high degree of operative invasiveness with median sternotomy
and abdominal incision, the postoperative course was uneventful
due to the shortened operation time and maintenance of good peripheral
circulation.
Jpn. J. Cardiovasc. Surg. 30: 23-25 (2001) |
|
