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Vascular and Endovascular Surgery
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*Coronary Artery Bypass Surgery
*Coronary Artery Disease
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Coronary Artery Bypass Grafting for Patients with Aortoiliac Occlusive Disease

Hitoshi Hirose, MD, FICS

Department of Cardiovascular Surgery, Kobari General Hospital, 29-1 Yokouchi, Noda City, Chiba, 278-8501, Japan genexgnifty.com

Hidetaka Nakano, MS

Department of Cardiovascular Surgery, Kobari General Hospital, Chiba, Japan

Atsushi Amano, MD

Department of Cardiovascular Surgery, Showa University, Yokohama City Northern Hospital, Kanagawa, Japan

Akihito Takahashi, MD

Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Chiba, Japan

Harvest of the internal thoracic artery (ITA) in patients with aortoocclusive disease carries a risk of leg ischemia. Staged revascularization of the lower extremities and coronary artery in patients with aortoiliac occlusive disease with collateral vessels to the lower extremities via the ITA is reported. Revascularization of the aortoiliac occlusion prior to coronary artery bypass grafting can be performed in stable patients with appropriate perioperative coronary precautions. In patients with unstable angina and aortoiliac occlusion with collateral vessels to the leg via the ITA, coronary artery bypass grafting should be performed without using the ITA.

Vascular and Endovascular Surgery, Vol. 36, No. 4, 285-290 (2002)
DOI: 10.1177/153857440203600406
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