A Case of 1-Stage Replacement of the Ascending Aorta, Coronary Artery Bypass Grafting and Revascularization of the Lower Extremities

(Department of Thoracic and Cardiovascular Surgery, Shingu Medical Center, Shingu, Japan and Department of Thoracic Surgery, Anjo Kosei Hospital*, Anjo, Japan)

Toru Mizumoto Katsutoshi Adachi Katsumoto Hatanaka
Toshihiko Kinoshita*
An 86-year-old woman was transferred to our hospital because of chest pain and left incomplete paralysis. CT-scan revealed a dissecting aortic aneurysm (DeBakey type2) 6cm in diameter. Coronary angiography and aortography were perfomed to assess the coronary artery disease and ASO, they showed occluded LAD, 90% stenosis of CX and occluded left external iliac artery. We planned a 1-stage operation. Coronary artery bypass grafting with the beating heart was carried out prior to replacement of the ascending aorta. Then we performed femoro-femoro bypass. The postoperative course was uneventful and the patient was discharged 23 days after the operation.
@Jpn. J. Cardiovasc. Surg. 32: 355 -357 (2003)