Coronary artery bypass grafting with left inferior epigastric artery as collateral.
We report a case of co-existent coronary and peripheral vascular disease with collaterals to the lower extremities in a 72-year-old female. The patient had triple-vessel coronary artery disease, an occlusion of the bilateral iliac arteries, and the left internal mammary-inferior epigastric artery collateral pathway was a major route to the lower extremities. Coronary artery bypass grafting and right axillo-bifemoral bypass were performed. The well-developed left inferior epigastric artery was used as a conduit to the circumflex artery.
Honjo
Osami
O
Department of Cardiovascular Surgery, Hiroshima City Hospital, Japan. osami47@hotmail.com
Oba
Osamu
O
Shichijo
Takeshi
T
Yunoki
Keiji
K
Inoue
Masahiro
M
Suezawa
Takanori
T
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D003097:Collateral Circulation / Q000502:physiology; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D019074:Epigastric Arteries / Q000503:physiopathology / Q000637:transplantation*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*