| A Case of 1-Stage Replacement
of the Ascending Aorta, Coronary Artery Bypass Grafting and Revascularization
of the Lower Extremities |
(Department of Thoracic and Cardiovascular Surgery,
Shingu Medical Center, Shingu, Japan and Department of Thoracic
Surgery, Anjo Kosei Hospital*, Anjo, Japan)
| Toru Mizumoto |
Katsutoshi Adachi |
Katsumoto Hatanaka |
| Toshihiko Kinoshita* |
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An 86-year-old woman was transferred
to our hospital because of chest pain and left incomplete paralysis.
CT-scan revealed a dissecting aortic aneurysm (DeBakey type2)
6cm in diameter. Coronary angiography and aortography were perfomed
to assess the coronary artery disease and ASO, they showed occluded
LAD, 90% stenosis of CX and occluded left external iliac artery.
We planned a 1-stage operation. Coronary artery bypass grafting
with the beating heart was carried out prior to replacement of
the ascending aorta. Then we performed femoro-femoro bypass.
The postoperative course was uneventful and the patient was discharged
23 days after the operation.
Jpn. J. Cardiovasc. Surg. 32: 355 -357 (2003) |
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