One-Stage Off-Pump CABG and Y Graft Replacement of the Abdominal Aorta in a Patient with Ischemic Heart Disease and Leriche's Syndrome / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
;
: 410-413, 2004.
Article
in Japanese
| WPRIM
| ID: wpr-367018
ABSTRACT
A 68-year-old man with unstable angina after old myocardial infarction, and Leriche's syndrome was admitted. Coronary angiography found 90% stenosis of the left anterior descending artery (LAD), 99% stenosis of the diagonal branch, 99% stenosis of the right coronary artery (RCA), and 90% stenosis of the 4-posterior descending branch (4 PD). Left circumflex artery (LCX) was diffusely stenotic and small. Aortography revealed complete occlusion of the infrarenal aorta. Due to the risk of limb-threatening ischemia, we planned simultaneous revascularization of myocardium and the lower extremities. Off-pump coronary artery bypass (OPCAB) was performed first. Subsequently Y graft replacement of abdominal aorta was completed. The postoperative course was uneventful and he was discharged on the 14th day after operation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Japanese
Journal:
Japanese Journal of Cardiovascular Surgery
Year:
2004
Type:
Article
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