Combined Coronary and Lower Extremity Revascularization with Thoracotomy: A Case Report


  • Ibrahim Arif Tarhan
  • Mehmet Yilmaz
  • Ismail Yucesin Arslan
  • Tamer Kehlibar
  • Azmi Ozler



Patients with the combination of coronary artery disease and peripheral vascular disease have multiple risk factors and manifest widespread vascular disease. Although indications of combined coronary and femoral revascularization are rare, a combined procedure is useful in selected patients. We report a patient who underwent a successful combined coronary and lower extremity revascularization with anterolateral limited thoracotomy.


Frantz SL, Kaplitt MJ, Beil AR Jr, Stein HL. 1974. Ascending aortabilateral femoral artery bypass for the totally occluded infrarenal abdominal aorta. Surgery 75:471-5.nHertzer NR, Beven EG, Young JR, et al. 1984. Coronary artery disease in peripheral vascular patients. A classification of 1000 - coronary angiograms and results of surgical management. Ann Surg 199:223-33.nJebara VA, Fabiani JN, Acar C, Chardigny C, Julia P, Carpentier A. 1994. Combined coronary and femoral revascularization using an ascending aorta to bifemoral bypass. Arch Surg 129:275-9.nPassman MA, Farber MA, Criado E, Marston WA, Burnham SJ, Keagy BA. 1999. Descending thoracic aorta to iliofemoral artery bypass grafting: a role for primary revascularization for aortoiliac occlusive disease? J Vasc Surg 29:249-58.nRihal CS, Sutton-Tyrrell K, Guo P, et al. 1999. Increased incidence of periprocedural complications among patients with peripheral vascular disease undergoing myocardial revascularization in the bypass angioplasty revascularization investigation. Circulation 100:171-7.nSelimoglu O, Yildirim T, Basaran M, Us MH, Ogus NT. 2006. Simultaneous coronary artery bypass grafting and ascending aorta to bifemoral bypass for ischemic heart disease combined with critical leg ischemia: case reports. Heart Surg Forum 9:820-2.n



How to Cite

Tarhan, I. A., Yilmaz, M., Arslan, I. Y., Kehlibar, T., & Ozler, A. (2007). Combined Coronary and Lower Extremity Revascularization with Thoracotomy: A Case Report. The Heart Surgery Forum, 10(2), E168-E169.




Most read articles by the same author(s)

1 2 > >>