Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Simultaneous Revascularization for Coronary Artery Stenosis and Peripheral Vascular Disease.

관상동맥 우회술과 말초 혈관 협착의 동맥 우회술의 동시 수술

  • Song, Hyun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, College of Medicine) ;
  • Lee, Eun-Sang (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, College of Medicine) ;
  • Yoo, Dong-Gon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, College of Medicine)
  • 송현 (울산대학교 의과대학 서울중앙병원 흉부외과학 교실) ;
  • 이은상 (울산대학교 의과대학 서울중앙병원 흉부외과학 교실) ;
  • 유동곤 (울산대학교 의과대학 서울중앙병원 흉부외과학 교실)
  • Published : 1999.10.01
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Abstract

There was no significant difference in morbidity and mortality between those that received simultaneous operation for coronary artery disease and peripheral vascular disease versus those that received coronary artery bypass graft alone. Simultaneous operation is also cost effective. A 46 year-old patient with resting chest pain and intermittent claudication was diagnosed as unstable angina and Leriche's syndrome. We performed simultaneous revascularization for coronary artery stenosis with internal mammary artery and right gastroepiploic artery and a bifurcated vascular graft interposition between in the aorta, left common iliac and right femoral arteries for Leriche's syndrome. The postoperative coronary angiogram and aortogram revealed a good patency of the arterial conduits and vascular graft. He has been followed for 12 months without any problem.

Keywords

References

  1. Eur J Cardiothorac Surg v.9 Simultaneous coronary bypass and abdommal aortic surgery in pattents with severe coronary disease- indication and results Autschbach R;Falk V;Walther T(et al.)
  2. Ann Thorac Surg v.52 Simultaneous revasculatization for critical coronary and peripheral vascular ischemia Carrel T;Niederhause U;Pasic M(et al.)
  3. Ann Thorac Surg v.44 Coronary artery bypass grafting by utilizing in situ right gastroepiploic artery: Basic stuey and clinical application Suma H;Fukumoto H;Takeuchi A
  4. J Thorac Cardiovasc Surg v.97 Coronary artery bypass grafting with the right gastroepipoic artery Lytle BW;Vosgrove DM;Rariliff NB;Loop FD
  5. Ann Thorac Surg v.62 Intermediate clinical results of comvined gastroepiploic and internal thoracic artery bapass Isomura T;Sato T;Hisationi K(et al.)
  6. J Thorac Cardiovasc Surg v.101 Does use of gastroepiploic artery graft increase surgical risk? Suma H;Wanibuchi Y;Furuta S;Takeuchi A
  7. Ann Thorac Surg v.59 Risk and results of bypass grafting using bilateral internal mammary and right gastroepiplioc artetes Jegaden O;Eker A;Montagna P(et al.)
  8. J Thorac Cardiovasc Surg v.112 Exclusive use of arterial frafts in coronary artery bypass operation for three-vessel disease : Use of both thoracic arteries and the gastroepiploic artery in 256 consecutive patients Gradjean JG;Voor AA;Boonstra PW(et al.)