[Surgical techniques of combined operations on coronary arteries and arteries of the lower limbs].

Experience has been accumulated in the department in the surgical treatment of 165 patients with combined affections of the coronary arteries and the arteries of the lower limbs. One-stage operations were conducted on 14 patients due to clinically severe ischemia of the heart and limbs. A bifurcation aortofemoral shunt with an aortocoronary shunt was formed in 2 patients. In the other cases an aortocoronary shunt without or with resection of a heart aneurysm and various types of aorto-iliac-femoral and femoropopliteal reconstructions were performed. No hospital mortality was encountered. The surgical techniques of combined operations are described in detail. It is concluded that such surgical interventions should be conducted only in highly-qualified institutions possessing rich experience both in coronary and in vascular operations.