title: Concomitant coronary bypass and below knee amputation in a diabetic patient.
abstract: A 57-year-old man presented with unstable angina and uncontrolled diabetes with diabetic foot. It was decided to perform right below knee amputation with coronary revascularization in a single stage. Right below knee amputation was carried out first. The left anterior descending artery, ramus intermedius, and second obtuse marginal branch of the circumflex were bypassed on a beating heart, using saphenous vein grafts. The patient was discharged on the 7th postoperative day after a course of antibiotics.
authors.affiliation: Department of Cardiac Surgery, Fortis-Escorts Heart Institute and Research Centre, New Delhi, India surendrank@hotmail.com.
authors.forename: Surendra Nath
authors.initials: SN
authors.lastname: Khanna
authors.affiliation: Department of Cardiac Surgery, Fortis-Escorts Heart Institute and Research Centre, New Delhi, India.
authors.forename: Mathews
authors.initials: M
authors.lastname: Paul
authors.affiliation: Department of Cardiac Surgery, Fortis-Escorts Heart Institute and Research Centre, New Delhi, India.
authors.forename: Krishnan K
authors.initials: KK
authors.lastname: Sharma
authors.affiliation: Department of Cardiac Surgery, Fortis-Escorts Heart Institute and Research Centre, New Delhi, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Karlekar
mesh_terms: D000671:Amputation, Surgical; D000789:Angina, Unstable / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D047549:Coronary Artery Bypass, Off-Pump; D017719:Diabetic Foot / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Amputation; Coronary artery disease; Diabetic foot