Korean J Thorac Cardiovasc Surg.  1999 Oct;32(10):943-946.

Simultaneous Revascularization for Coronary Artery Stenosis and Peripheral Vascular Disease

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, College of Medicine, University of Ulsan.

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.

Keyword

Coronary artery disease; Leriche syndrome

MeSH Terms

Angina, Unstable
Aorta
Chest Pain
Coronary Artery Bypass
Coronary Artery Disease
Coronary Stenosis*
Coronary Vessels*
Femoral Artery
Gastroepiploic Artery
Humans
Intermittent Claudication
Leriche Syndrome
Mammary Arteries
Middle Aged
Mortality
Peripheral Vascular Diseases*
Transplants
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