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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.
Insights
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.
Abstract:
The management of patients with concomitant coronary and aorto-iliac atherosclerosis is subject to controversy, but it is universally agreed that coronary artery surgery should precede aorto-iliac reconstruction. The technique described here consists of an ascending aorta to bifemoral graft. It allows combined surgery of the coronary and lower limb arteries to be performed without opening the peritoneum.