ABSTRACT
Localized aneurysm of the deep femoral artery is an extremely rare disease. A case of arteriosclerotic aneurysm of the bilateral deep femoral artery was reported. A 72-year-old man complained of pulsatile masses in his abdomen and left groin. Radiologic studies revealed an abdominal aortic aneurysm and one of the left deep femoral artery. Proximal and distal ligation of the left deep femoral artery aneurysm and partial excision of the aneurysmal sac were performed without revascularization 2 weeks after the resection of his abdominal aortic aneurysm. Three years later, ligation and division of the right deep femoral artery aneurysm and reconstruction of blood flow were performed using a 6mm EPTFE prosthetic graft. The postoperative course was uneventful and histological findings revealed arteriosclerosis. The literature of the deep femoral artery aneurysm was briefly reviewed.
ABSTRACT
When coronary artery bypass grafting (CABG) is to be done, we use the internal thoracic artery (ITA) as a graft conduit in order to obtain longer patency. When the ITA acts as a good collateral to the lower extremities, blood flow to the extremities may decrease after CABG with ITA. Simultaneous open heart surgery and laparotomy may cause pulmonary complication. We made an algorithm of treatment for patients with coronary artery disease (CAD) and aortoiliac occlusive disease including these problems. From July 1991 to March 1992, 6 patients were operated and reviewed. Four patients were operated on for CAD and AIOD simultaneously. Two patients were operated on for CAD or AIOD at first and for the other secondarily. All 6 cases were discharged without any complications and are now free from angina and intermittent claudication. When the therapeutic plan for the patients with CAD and AIOD is made, it is very important that coronary revascularization is planned at first with careful evaluation of the blood flow to the lower extremities in cases with AIOD.
