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[Combined coronary and lower limb revascularization: a new technique]
V A Jebara1, J N Fabiani, C Acar
1Département de Chirurgie cardiovasculaire, Hôpital Broussais, Paris.
Presse Medicale (Paris, France : 1983)
|October 27, 1990
Summary
This study presents a surgical technique for patients with both coronary and aorto-iliac atherosclerosis. The ascending aorta to bifemoral graft allows combined arterial procedures without entering the abdominal cavity.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Atherosclerosis Research
Background:
- Management of combined coronary and aorto-iliac atherosclerosis remains controversial.
- Coronary artery surgery is generally prioritized before aorto-iliac reconstruction.
Purpose of the Study:
- To describe a surgical technique for simultaneous treatment of coronary and lower limb atherosclerosis.
- To present an alternative approach for patients requiring both coronary and aorto-iliac procedures.
Main Methods:
- A surgical technique involving an ascending aorta to bifemoral graft is detailed.
- This method facilitates combined coronary and lower limb arterial surgery.
- The procedure avoids peritoneal entry, minimizing abdominal surgical impact.
Main Results:
- The described technique allows for combined surgical intervention.
- It offers a method to address both coronary and lower limb atherosclerosis concurrently.
- The approach bypasses the need for laparotomy.
Conclusions:
- The ascending aorta to bifemoral graft is a viable option for managing complex atherosclerosis.
- This technique enables combined cardiovascular and peripheral arterial reconstruction.
- It offers a less invasive approach by avoiding peritoneal opening.