Synchronous off-pump Coronary Bypass and Extra-anatomic Thoracic Aortobifemoral Graft Using Anterolateral Thoracotomy Single-center Experience

Abstract

Background: Aortoiliac occlusive disease can coexist with coronary artery disease in many instances leading to the dilemma of which problem to address first as for these patients with multiple comorbidities and high surgical risk, it is critical to decrease the overall physiologic burden of surgery when possible. Furthermore, with severe or complete occlusion of vascular supply to lower limbs, it proves beneficial to avoid two-stage surgeries because of the high risk of irreversible ischemia necessitating amputation. Material and Method: Hence, we attempted single-stage combined coronary artery bypass grafting with thoraco-bifemoral bypass grafting through left anterolateral thoracotomy in five cases. Results: In all 5 cases we got successful results with no major complications. Conclusion: Thus, CABG with thoracofemoral bypass grafting in single surgery can prove to be good alternative for patients with concomitant PVD (peripheral vascular disease) with CAD (coronary artery disease).

Keywords

• anterolateral thoracotomy
• off-pump coronary artery bypass grafting
• thoraco-bifemoral