Concomitant coronary and peripheral arterial disease: single-stage revascularization.
Acute presentation of critical peripheral arterial ischemia in an unstable cardiac patient is a challenge to the surgeon. Coexistence of two entities is usually managed with a staged approach; however, decision to treat which entity first may be difficult clinically. We present a 49-year-old man with acute infrarenal aortic occlusion and cardiac ischemia who was treated with single-stage ascending aorta-bifemoral bypass following saphenous vein grafting to left anterior descending artery. Concomitant coronary and peripheral vascular revascularization is a practical method with a high flow inflow source as ascending aorta. We believe that a single-stage approach may be performed in the unstable patient as presented in this report.
Goksel
Onur S
OS
University of Istanbul, Istanbul Medical Faculty, Department of Cardiovascular Surgery, Istanbul, Turkey. onurgokseljet@gmail.com
Ugurlucan
Murat
M
Alpagut
Ufuk
U
Tireli
Emin
E
Dayioglu
Enver
E
D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000601:surgery; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications* / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*