Concomitant coronary and peripheral arterial disease: Single-stage revascularization

Goksel O. S. , Ugurlucan M. , Alpagut U. , Tireli E. , Dayioglu E.

JOURNAL OF CARDIAC SURGERY, vol.23, no.3, pp.246-247, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 3
  • Publication Date: 2008
  • Doi Number: 10.1111/j.1540-8191.2008.00591.x
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.246-247


Acute presentation of critical peripheral arterial ischemia in an unstable cardiac patient is a challenge to the surgeon. Coexistence of two entities is usually managed with a staged approach; however, decision to treat which entity first may be difficult clinically. We present a 49-year-old man with acute infrarenal aortic occlusion and cardiac ischemia who was treated with single-stage ascending aorta-bifemoral bypass following saphenous vein grafting to left anterior descending artery. Concomitant coronary and peripheral vascular revascularization is a practical method with a high flow inflow source as ascending aorta. We believe that a single-stage approach may be performed in the unstable patient as presented in this report.