Off-Pump Coronary Artery and Aortobifemoral Artery Revascularisation: A Combined Approach

Abstract

Coexistent occlusive disease in the coronary and the aortoiliac arteries has been noted in relatively high incidencewhich affects the management plan. When there is concurrent aortoiliac occlusive disease, most often abdominal aorta is the place of proximal anastomosis for grafting to both lower extremities. However, the ascending aorta may also be used as the source of inflow to both the femoral and coronary arteries in patients who present with coexistent coronary artery disease and aorto iliac occlusive disease. Patients may need to undergo two separate procedures for the same. With this we are reporting a case where off pump coronary artery bypass grafting (OPCABG) was coupled with aortobifemoral artery bypass grafting via ventral extra peritoneal space using bifurcated dacron graft. OPCABG and a simple method of limb bypass procedure is a promising procedure for simultaneous revascularisation of myocardium and lower extremities.