Volume 10 Supplement 1

Proceedings of the WSCTS 25th Anniversary Congress

Open Access

Concomitant procedure for coronary artery disease and aorto iliac vessel block with an non - healing ulcer over the foot

  • Durgaprasad Reddy1,
  • SR Vikas1,
  • S Mayuri1 and
  • Subhash Kumar1
Journal of Cardiothoracic Surgery201510(Suppl 1):A58

https://doi.org/10.1186/1749-8090-10-S1-A58

Published: 16 December 2015

Background/Introduction

The prevalence of Coronary artery disease (CAD) in patients with peripheral vascular disease (PVD) varies widely from 28% to 94% in published reports.

Aims/Objectives

We share our experience with a concomitant procedure for coronary artery disease and peripheral vascular disease using an artificial conduit from ascending aorta to peripheral vessel in a single sitting.

Method

Records of 41 patients who underwent cardiac and peripheral vessel revascularisation between January 2009 and January 2014 were retrospectively analysed. All patients had diseased abdominal aorta with claudication pain and non-healing ulcer over the foot and a coronary angiogram showing either a triple vessel disease (27) or a double vessel disease (14). All patients underwent coronary artery bypass grafting and aorto-bifemoral grafting in a single sitting.

Results

Post-operative Doppler study showed good peripheral blood flow in all patients. Patients were relieved from rest pain and non-healing ulcers were converted to healing ulcers and limb salvage was possible in all cases. Four patients had pericardial effusion due to weeping of graft, which was drained with the help of pig tail catheter. Two patients had serous collection at the inguinal site which required drainage. These complications did not compromise the hemodynamics of the patient in the form of cardiac tamponade or limb ischemia.

Discussion/Conclusion

Single sitting for CAD and PVD revascularization has reduced morbidity, is easy to perform, cost effective and reduced hospital stay.

Authors’ Affiliations

(1)
Department of Cardiothoracic and Vascular Surgery, Vydehi Institute of Medical Sciences and Research Centre

Copyright

© Reddy et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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