Fukunaga Y, Kunitomo R, Utoh J, Hirata T, Hara M, Kitamura N
First Department of Surgery, Kumamoto University School of Medicine, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Aug;46(8):798-801. doi: 10.1007/BF03217825.
We report a successful surgical case of concomitant severe coronary artery disease and ASO with advanced sigmoid colon cancer. This patient underwent two-stage operation. Resection of the sigmoid colon was carried out first, then CABG and aortofemoral bypass was carried out simultaneously. The surgical strategy of a patient with coronary artery disease and malignant neoplasm is still controvertial, however, it should be decided considering the severity and the symptoms of both disease. In this case, ascending aorta was used as a donor artery for aortofemoral bypass. This technique will bring those benefits, i.e., consecutive operation procedures in same operating field, obtaining abundant blood flow to lower limb and safe IABP catheter insertion from subcutaneously tunneled bypass graft.
我们报告了一例同时患有严重冠状动脉疾病和闭塞性动脉硬化症并伴有晚期乙状结肠癌的成功手术病例。该患者接受了两阶段手术。首先进行乙状结肠切除术，然后同时进行冠状动脉搭桥术和主动脉股动脉旁路移植术。然而，对于患有冠状动脉疾病和恶性肿瘤患者的手术策略仍存在争议，不过，应根据两种疾病的严重程度和症状来决定。在本病例中，升主动脉被用作主动脉股动脉旁路移植术的供体动脉。该技术将带来以下益处，即同一手术区域的连续手术操作、为下肢提供充足的血流以及通过皮下隧道式旁路移植物安全插入主动脉内球囊反搏导管。
