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Date Published: 10/04/2024
Abstract Views: 44
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DOI: https://doi.org/10.51298/vmj.v537i1B.9110
Issue
Vol. 537 No. 1B (2024)
Section
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How to Cite
Văn, H. D., Hồ, K. Đức, Trần, Đỗ A. V., Phạm, T. B., Nguyễn, D. T. H., Châu, C. L., Lê, H. V., Nguyễn, H. H., Nguyễn, M. T., & Hoàng, N. N. (2024). COMBINED CARDIAC SURGERY AND EXTRA-ANATOMIC ASCENDANT AORTA-BIFEMORAL BYPASS: SHORT-TERM RESULTS. Vietnam Medical Journal, 537(1B). https://doi.org/10.51298/vmj.v537i1B.9110

COMBINED CARDIAC SURGERY AND EXTRA-ANATOMIC ASCENDANT AORTA-BIFEMORAL BYPASS: SHORT-TERM RESULTS

Hùng Dũng Văn, Khánh Đức Hồ, Đỗ Anh Vũ Trần, Thanh Bình Phạm, Doãn Thái Hưng Nguyễn, Chí Linh Châu, Hoàng Văn Lê, Hoàng Huy Nguyễn, Minh Trung Nguyễn, Niên Nhâm Hoàng

Main Article Content

Abstract

Background: Valvular or coronary artery disease associated with aorto-pelvic vascular disease is uncommon but very severe. We report the short-term results of 5 cases of single-stage surgery performed cardiac surgery and extra-anatomic ascendant aorta-bifemoral shunt. Methods: retrospectively describe 5 cases of cardiac surgery combined with single-stage ascendant aorta-bifemoral artery bypass. Results: 2 case of valve replacement and 3 cases of coronary bypass without extracorporeal circulation accompanied by ascending aorta-bifemoral artery bypasses through the anterior peritoneal tunnel. Dacron Y-grafts with size 14/7 are used. Before surgery, all 4 were in Fontaine’s classification stage 4 and TASC II grades 3C/D. Contrast angiography showed complete occlusion of the aorta-pelvis (just below the renal artery). There were no deaths or complications in the postoperative period. Follow-up up to 6 months and CT scan showed good patency of bypass, the patient no longer of pain in lower extremities and walking normally. Conclusion: Extra-anatomic ascendant aorta-bifemoral artery bypass is an effective, easy-to-implement, and safe solution in cases requiring cardiac surgery at the same time as an acute iliac aortic disease

Article Details

Keywords

Extra-anatomic ascendant aorta-bifemoral bypass, aorto-pelvic vascular disease, coronary artery bypass

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