[Simultaneous operation for ischemic heart disease combined with Leriche syndrome]

Area of Science:

• Cardiovascular Surgery
• Interventional Cardiology
• Vascular Surgery

Background:

• The patient presented with chest pain, a known history of Leriche syndrome, and ischemic heart disease.
• Previous interventions included aorto-bifemoral bypass and percutaneous coronary intervention.

Observation:

• Radiological imaging showed complete obstruction of the right coronary artery and the existing bypass graft.
• This critical blockage led to the patient's current symptoms.

Findings:

• A simultaneous surgical approach was employed, combining coronary artery bypass grafting (CABG) with an ascending aorta to bifemoral artery bypass.
• The patient underwent successful surgical revascularization.

Implications:

• This case highlights the successful management of complex cardiovascular and peripheral arterial disease.
• Simultaneous bypass procedures can effectively restore blood flow in critical obstructions.
• This approach offers a viable solution for patients with combined coronary and aortoiliac disease.