Phẫu thuật tim kết hợp cầu nối động mạch chủ - động mạch đùi hai bên: Kết quả ngắn hạn

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.