A Case of Popliteal Endarterectomy in a Patient Post CABG

Kazunori Hashimoto＊	Harunobu Matsumoto＊＊	Takayuki Yamamoto＊
Tetsuya Sato＊	Satoshi Ito＊

(Department of Cardiovascular Surgery, Yokohama City Minato Red Cross Hospital＊, Yokohama, Japan, and Department of Vascular Surgery, Saitama Medical University Hospital＊＊, Saitama, Japan）

A 74-year-old man having a right refractory foot ulcer was referred to our hospital with a diagnosis of arteriosclerosis obliterans. Angiography of the lower extremities showed occlusive lesions in the middle popliteal artery and lower-leg arteries. Preoperative examination revealed decreased cardiac function and severe stenosis of the left and right coronary arteries. Therefore, we first performed coronary artery bypass grafting, followed by revascularization of the lower limbs at a later date. Owing to the lack of suitable autologous vein grafts, our procedure of choice was popliteal endarterectomy via a posterior approach with short saphenous vein angioplasty. The patient’s foot ulcer healed completely following surgery. His postoperative course was uneventful, and he remained symptom-free during a 1-year follow-up.

 

Jpn. J. Cardiovasc. Surg. 51 : 183-186 （2022）

Keywords：arteriosclerosis obliterans ; endarterectomy ; popliteal artery occlusion