SURGICAL MYOCARDIAL REVASCULARISATION CONCOMITANT WITH ASCENDING AORTA TO BIFEMORAL BYPASS IN A PATIENT WITH SEVERE GENERALISED ATHEROMATOSIS (CASE REPORT)
Abstract:
Generalised atheromatosis is the leading cause of mortality and morbidity in Western Europe and the United States. The main determinations are cardiac, cerebral and lower limbs. Usually, they require serial surgical procedures. We report a case of a 65 year-old patient with severe tricoronary stenosis and high abdominal aorta occlusion. The impossibility of using the abdominal aorta as an inflow source for revascularisation of the lower limbs and the severity of symptoms required concomitant myocardial and lower limb revascularisation using the ascending aorta as an inflow source for both procedures. The postoperative outcome was favourable, without complications, the patient being discharged at 9 days postoperatively. At first and 6 month postoperative follow-up, the patient was asymptomatic. In conclusion, the ascending aorta is a good inflow source to the lower limb revascularisation, and the combination of the two procedures can be performed in selected cases with good results.
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