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Simultaneous myocardial revascularization and ascending aorta to femoral-artery bypass grafting
The Thoracic and Cardiovascular Surgeon
|April 1, 1984
Insights
This case report details a successful simultaneous procedure combining myocardial revascularization and ascending to femoral bypass grafting for patients with severe coronary artery disease and limb-threatening ischemia.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
Background:
- Severe coronary artery disease poses significant risks for patients requiring peripheral revascularization.
- Impending limb gangrene necessitates urgent intervention to prevent amputation.
Observation:
- A patient presented with concurrent severe coronary artery disease and critical limb ischemia due to peripheral artery disease.
- The patient exhibited signs of impending gangrene in the foot, indicating a high risk of tissue loss.
Findings:
- Simultaneous myocardial revascularization and ascending to femoral bypass grafting were successfully performed in a single operative session.
- This combined approach addressed both the cardiac and peripheral arterial occlusive disease effectively.
Implications:
- This surgical strategy offers a viable option for managing complex cases with combined coronary and peripheral artery disease.
- Such combined procedures may improve outcomes and limb salvage rates in select high-risk patient populations.
Abstract:
In this report a case is described where simultaneous myocardial revascularization and ascending to femoral bypass grafting was performed for severe coronary artery disease and impending gangrene of the foot.