title: Combined minimaly invasive surgery for coronary bypass and abdominal aortic occlusion.
abstract: Association of extracorporal assisted coronary bypass with peripheral vascular surgery is already commonplace in the therapeutic arsenal. This case report presents a combined cardiac and vascular surgery in a high risk patient, with unstable angina following myocardial infarction and critical ischemia of a single lower limb. Synchronous minimally invasive direct coronary bypass graft and extra-anatomic aorto-profundal bypass in one single sitting were performed. The procedure was successful at 6 months follow up. We believe that this type of synchronous procedure, minimising surgical aggression, could be effective in selected high risk patients.
authors.affiliation: Department of Cardiothoracic Surgery, Foundation Hospital, St Joseph, 26 Boulevard de Louvain, 13008, Marseille, France.
authors.forename: V
authors.initials: V
authors.lastname: Alexandrescu
authors.forename: P
authors.initials: P
authors.lastname: Bergeron
authors.forename: R
authors.initials: R
authors.lastname: Perrin
authors.forename: P
authors.initials: P
authors.lastname: Khanoyan
authors.forename: R
authors.initials: R
authors.lastname: Rosario
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000601:surgery; D001012:Aorta, Abdominal / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D012307:Risk Factors