A Case Report of One-Staged Coronary
Artery Bypass Grafting and Revascularization of the Lower Extremities
for Severe Ischemic Heart Disease and Leriche's Syndrome
Tatsuichiro Seto
Hiroto Kitahara
Yuko Wada
Tsuneo Nakajima
Takehiko Furusawa
Tamaki Takano
Hirohumi Nakano
Jun Amano
(Second Department of Surgery, Shinshu University
School of Medicine, Matsumoto, Japan)
A 44-year-old man was given a diagnosis
of severe ischemic heart disease and Leriche's syndrome. He had
critical ischemia in the lower extremities and ischemic gangrene
in a toe of the left foot. We planned a one-stage operation for
these fatal diseases. To prevent irreversible ischemia of the
lower limbs after mobilization of internal thoracic arteries
or during extra-corporeal circulation, we performed aorto-ilio
femoral bypass grafting with extra-peritoneal approach first.
Then conventional coronary artery bypass grafting was carried
out for three coronary arteries with bilateral internal thoracic
arteries (ITAs) and the saphenous vein. The postoperative course
was uneventful.
Jpn. J. Cardiovasc. Surg. 31：146-149(2002)
