Erschienen in:
28.11.2023 | Case report
Combined coronary artery bypass with descending thoracic aorta to bifemoral bypass grafting using minimal invasive technique
verfasst von:
Apurva Shah, Anil Sharma, Sunil Dixit, Mohit Sharma
Erschienen in:
Indian Journal of Thoracic and Cardiovascular Surgery
|
Ausgabe 2/2024
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Abstract
Coronary artery disease (CAD) and peripheral vascular disease (PVD) often coexist and are prevalent due to population ageing, smoking, diabetes, unhealthy lifestyles, and the epidemic of obesity. In high-risk patients, it is critical to minimize the overall burden of surgery to avoid poor outcomes and morbidity. Here, we present a case of successful coronary artery bypass grafting (CABG) with thoraco-bifemoral bypass surgery for PVD via a left thoracotomy approach. Traditionally, median sternotomy is done for these kinds of surgeries. However, we preferred thoracotomy over sternotomy to avoid morbidity in old age. Our case suggests that combined CABG with thoraco-bifemoral bypass via thoracotomy approach is a reliable surgical option depending on the anatomy of the lesion.