Endovascular therapy and minimally invasive coronary artery bypass grafting for Leriche syndrome with ischaemic heart disease.

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.