| Off-pump CABG and Right Axillo-bifemoral
Artery Bypass in a Patient with Totally Calcified Ascending Aorta
and Leriche's Syndrome |
(Department of Cardiovascular Surgery, Fukushima
Medical University, School of Medicine, Fukushima, Japan)
| Koji Ogata |
Koji Tsuchiya |
Hideki Ozawa |
| Hideki Sasaki |
Narutoshi Hibino |
|
|
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.
Jpn. J. Cardiovasc. Surg. 30: 327-330 (2001) |
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