Moriuchi Hiroki, Orii Mamoru, Shimabukuro Nobuhiro, Yamauchi Akihiko
Department of Cardiovascular Surgery, Yuuai Medical Center, Okinawa, Japan.
Interdiscip Cardiovasc Thorac Surg. 2024 Dec 25;40(1). doi: 10.1093/icvts/ivaf008.
In patients with Leriche syndrome and coronary artery disease, the operative strategy is very important because the internal thoracic artery often provides important collateral blood flow to the lower extremities. A 65-year-old man with diabetes mellitus was admitted with heart failure and bilateral claudication. We successfully performed endovascular therapy for aortoiliac occlusive disease, followed by minimally invasive coronary artery bypass grafting for ischaemic heart disease. Postoperative course was uneventful. This is the first report of using minimally invasive coronary artery bypass grafting and endovascular therapy to treat Leriche syndrome with ischaemic heart disease.
在患有勒里什综合征和冠状动脉疾病的患者中，手术策略非常重要，因为胸廓内动脉常常为下肢提供重要的侧支血流。一名65岁的糖尿病男性因心力衰竭和双侧跛行入院。我们成功地对主髂动脉闭塞性疾病进行了血管内治疗，随后对缺血性心脏病进行了微创冠状动脉旁路移植术。术后过程顺利。这是首例使用微创冠状动脉旁路移植术和血管内治疗来治疗合并缺血性心脏病的勒里什综合征的报告。
