| A Case of Simultaneous Operation
for Unstable Angina and Leriche's Syndrome with a Large Arterial
Collateral to the Lower Limb |
(Department of Cardiovascular Surgery, Prefectural
Okinawa Naha Hospital, Okinawa, Japan)
| Tadao Kugai |
Mikio Chibana |
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|
A 52-year-old male with unstable
angina after acute myocardial infarction, and Leriche's syndrome
was referred to our hospital for intensive care. He had a history
of diabetes. Coronary angiography demonstrated a 75% stenosis
of the LMT in association with a 90% stenosis of the LAD, 75%
stenosis of the LCX and 99% stenosis of the RCA. Aortography
revealed an arterial occlusion extending from the infrarenal
aorta to both common iliac bifurcations. Both internal thoracic
arteries were well developed as collateral pathways to external
iliac arteries. With concomitant Y graft replacement of the abdominal
aorta, two large internal thoracic arterial conduits and the
right gastroepiploic artery were grafted to the coronary artery.
This procedure was useful for protection of limb ischemia, in
addition to producing a route for insertion of an intraaortic
balloon pumping catheter.
Jpn. J. Cardiovasc. Surg. 30: 106-109 (2001) |
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