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Asian Cardiovasc Thorac Ann 2004;12:366-368
© 2004 Asia Publishing EXchange Ltd

CASE STUDY

Coronary Artery Bypass Grafting with Left Inferior Epigastric Artery as Collateral

Osami Honjo, MD, Osamu Oba, MD, Takeshi Shichijo, MD, Keiji Yunoki, MD, Masahiro Inoue, MD, Takanori Suezawa, MD

Department of Cardiovascular Surgery Hiroshima City Hospital Hiroshima, Japan

For reprint information contact: Osami Honjo, MD Tel: 81 86 235 7359 Fax: 81 86 235 7431 Email: osami47{at}hotmail.com Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata, Okayama City, Okayama 700–8558, Japan.

We report a case of co-existent coronary and peripheral vascular disease with collaterals to the lower extremities in a 72-year-old female. The patient had triple-vessel coronary artery disease, an occlusion of the bilateral iliac arteries, and the left internal mammary-inferior epigastric artery collateral pathway was a major route to the lower extremities. Coronary artery bypass grafting and right axillo-bifemoral bypass were performed. The well-developed left inferior epigastric artery was used as a conduit to the circumflex artery.




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[Abstract] [Full Text] [PDF]


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