Combined coronary and femoral revascularization for the treatment of hypoplastic aortoiliac syndrome: report of a case.
The coronary artery and aortoiliac occlusive disease frequently coexist and in relatively rare instances, a complication of hypoplastic aortoiliac syndrome (HAIS) may occur. We herein present our experience with a 51-year-old female patient with HAIS and concomitant coronary artery disease. She underwent a successful simultaneous coronary and femoral revascularization. The left anterior descending artery was bypassed with the in situ gastroepiploic artery and a biaorto-external iliac artery bypass was performed with expanded polytetrafluoroethylene precuffed grafts. She had a good postoperative course, with no angina or intermittent claudication. The importance of the technical aspects of reconstructive surgery in patients with HAIS has been emphasized in many reports in the literature, and the surgical options for combined coronary and femoral revascularization are also discussed herein.
Ito
Hisato
H
Division of Cardiovascular Surgery, Hamamatsu Medical Center, 328 Tomitsuka, Naka-ku, Hamamatsu, Shizuoka, 432-8580, Japan.
Yamamoto
Kiyohito
K
Hiraiwa
Takane
T
D000714:Anastomosis, Surgical; D001018:Aortic Diseases / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000453:epidemiology*; D019917:Blood Vessel Prosthesis Implantation; D015897:Comorbidity; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000453:epidemiology*; D019074:Epigastric Arteries / Q000000981:diagnostic imaging; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D024405:Gastroepiploic Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D008875:Middle Aged; D013577:Syndrome; D014057:Tomography, X-Ray Computed