Temizkan Veysel, Ugur Murat, Alp Ibrahim, Ucak Alper, Yedekci Erturk, Yilmaz Ahmet Turan
GATA Haydarpasa Training Hospital Cardiovascular Surgery Department.
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:765-8. doi: 10.5761/atcs.cr.12.02109. Epub 2013 Mar 26.
Atherosclerosis might affect all arterial segments of the vascular system, thus peripheral arterial disease (PAD) accompanying coronary artery disease (CAD) is not uncommon. In addition to this coexistence, abdominal aortic aneurysm (AAA) is frequently associated with CAD. Although treatment strategies of CAD and PAD or CAD and AAA has been reported previously, treatment of these three pathologies has not been reported. The management of a therapeutic strategy is important for avoiding perioperative mortality and morbidity in CAD associated with AAA and PAD. We are reporting our simultaneous treatment strategy of three pathologies with endovascular AAA repair, stent implantation into the superficial femoral artery (SFA) and coronary artery bypass grafting (CABG).
动脉粥样硬化可能会影响血管系统的所有动脉段，因此冠状动脉疾病（CAD）合并外周动脉疾病（PAD）并不罕见。除了这种共存情况外，腹主动脉瘤（AAA）也常与CAD相关。尽管此前已有关于CAD与PAD或CAD与AAA治疗策略的报道，但这三种病症的联合治疗尚未见报道。对于合并AAA和PAD的CAD患者，制定治疗策略对于避免围手术期死亡率和发病率至关重要。我们报告了采用血管腔内AAA修复术、股浅动脉（SFA）支架植入术和冠状动脉旁路移植术（CABG）同时治疗这三种病症的策略。
