Association of extracorporal assisted coronary bypass with peripheral vascular surgery has already placecommon in the therapeutic arsenal. This case report presents a combined cardiac and vascular surgery in a high risk patient, with unstable angina following myocardial infarction and critical ischemia of a single lower limb. Synchronous minimally invasive direct coronary bypass graft and extra-anatomic aorto-profundal bypass in one single sitting were performed. The procedure was successful at 6 months follow up. We believe that this type of synchronous procedure, minimising surgical agression, could be effective in selected high risk patients.
JansenE.W.GrundemanP.BeckH.J., Experimental off-pump grafting of a circumflex branch via Sternotomy using a suction device 1. Annals of Thoracic Surgery, 1997, 63, 593–596.
2.
BlaisdellW.GaetanoA.DeMatteiG.GauderP., Extraperitoneal thoracic aorta to femoral bypass graft as a replacement for an infected aortic bifurcation prothesis. American Journal of Surgery, 1961, 102, 583–585.
3.
GelfandE.CallaghanJ.C.SternesL.P., Extensed aortic bypass. Journal of Thoracic and Cardiovascular Surgery, 1980, 79, 381–387.
ClevelandJ.C., Ascending aorta to common femoral artery bypass: an unusual but successful method for revascularisation of the lower extremity; report of a case. Cardiovascular Disease, 1980, 7, 74–77.
6.
WukaschD.C.CooleyD.A.SandifordF.M.NappiG.A., Ascending aorta-abdominal aorto-bypass: indications, technique and report of 12 patients. Annals of Thoracic Surgery, 1977, 23, 442–448.
