Saito D, Yashiki N, Tomita S, Watanabe G
Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
Kyobu Geka. 2011 May;64(5):383-6.
With the overall increase in ischemic heart disease (IHD), cases combining arteriosclerosis obliterans (ASO) of the lower extremities and IHD are on the rise. Therefore, it is necessary to consider methods and timing of operation. These cases have occasionally large collateral pathways from the internal thoracic artery (ITA) to the femoral artery via the epigastric artery. To prevent irreversible ischemia of the lower limbs after harvesting of ITA, we planned to perform a one-stage operation for ASO-combined IHD. Revascularization of the lower extremities was performed 1st. Subsequently coronary artery bypass grafting with ITA was completed. The operative courses were uneventful.
随着缺血性心脏病（IHD）总体发病率的上升，下肢动脉硬化闭塞症（ASO）合并IHD的病例正在增加。因此，有必要考虑手术方法和时机。这些病例偶尔会有从胸廓内动脉（ITA）经腹壁上动脉至股动脉的较大侧支通路。为防止取用ITA后下肢发生不可逆缺血，我们计划对ASO合并IHD患者进行一期手术。首先对下肢进行血运重建。随后完成用ITA进行的冠状动脉旁路移植术。手术过程顺利。
