Simultaneous arterial myocardial revascularization using a RITA-EA graft and aorto-bifemoral bypass is a feasible surgical strategy for patients with concomitant severe CAD and Leriche's syndrome.
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Case supports combined arterial bypass feasibility in CAD with Leriche syndrome; hypothesis-generating, should not yet change practice.
Concomitant coronary artery disease (CAD) and Leriche's syndrome is clinical scenario which poses a challenge to cardiovascular surgeons. This report describes a case of arterial myocardial revascularization in a patient with CAD and Leriche's syndrome by means of right internal thoracic artery harvested with right epigastric artery in situ fashion, performed in addition to simultaneous aorto-bifemoral bypass.
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Bobylev et al. (2013) studied this question.
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