虚血性心疾患を合併したＬｅｒｉｃｈｅ症候群患者に対する一期的手術の１例―ＯＰＣＡＢと解剖学的下肢血行再建術―

DOI 被引用文献1件 参考文献13件
  • 水元 亨
    新宮市立医療センター呼吸器外科・心臓血管外科
  • 安達 勝利
    新宮市立医療センター呼吸器外科・心臓血管外科
  • 畑中 克元
    新宮市立医療センター呼吸器外科・心臓血管外科

書誌事項

タイトル別名
  • One-Stage Off-Pump CABG and Y Graft Replacement of the Abdominal Aorta in a Patient with Ischemic Heart Disease and Leriche's Syndrome
  • OPCABと解剖学的下肢血行再建術

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A 68-year-old man with unstable angina after old myocardial infarction, and Leriche's syndrome was admitted. Coronary angiography found 90% stenosis of the left anterior descending artery (LAD), 99% stenosis of the diagonal branch, 99% stenosis of the right coronary artery (RCA), and 90% stenosis of the 4-posterior descending branch (4 PD). Left circumflex artery (LCX) was diffusely stenotic and small. Aortography revealed complete occlusion of the infrarenal aorta. Due to the risk of limb-threatening ischemia, we planned simultaneous revascularization of myocardium and the lower extremities. Off-pump coronary artery bypass (OPCAB) was performed first. Subsequently Y graft replacement of abdominal aorta was completed. The postoperative course was uneventful and he was discharged on the 14th day after operation.

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