Volume 27, Issue 138, August 2023

Combined cardiac surgery and extra-anatomic ascendant aorto-bifemoral bypass: Short-term results

Van Hung Dung^1,2♦, Ho Khanh Duc³, Tran Do Anh Vu³, Pham Thanh Binh¹, Nguyen Doan Thai Hung⁴, Chau Chi Linh¹, Le Hoang Van³, Hoang Nien Nham¹, Nguyen Hoang Huy³, Nguyen Minh Trung³, MS Minh Chau Van Nguyen⁵

¹Ho Chi Minh Heart Institute, Ho Chi Minh City, Viet Nam
²University of Medicine Pham Ngoc Thach, Ho Chi Minh City, Viet Nam
³Binh Dan Hospital, Ho Chi Minh City, Viet Nam
⁴175 Military Hospital, Ho Chi Minh City, Viet Nam
⁵The PolyTechnic University, Wellington, New Zealand

^♦Corresponding author
Ho Chi Minh Heart Institute, Ho Chi Minh City, Viet Nam, and University of Medicine Pham Ngoc Thach, Ho Chi Minh City, Viet Nam
ORCID: 0000-0002-9652-1825

ABSTRACT

Background: Valvular or coronary artery disease associated with aortoiliac vascular disease is uncommon but very severe. We report the short-term results of 4 cases of single-stage surgery performed cardiac surgery and extra-anatomic ascendant aorta-bifemoral shunt. Methods: Retrospectively describe 4 cases of cardiac surgery combined with single-stage ascendant aorta-bifemoral artery bypass. Results: 1 case of valve replacement and 3 cases of coronary artery bypass without extracorporeal circulation accompanied by ascending aorta-bifemoral artery bypasses through the anterior peritoneal tunnel. Dacron Y-grafts with size 14/7 mm are used. Before surgery, all 4 were in Leriche’s classification stage 4 and TASC II grades 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, all the patient had 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.

Keywords: Extra-anatomic ascendant aorto-bifemoral bypass (AABF), aortoiliac occlusive disease (AIOD), off-pump coronary artery bypass grafting (OPCAB)

Medical Science, 2023, 27, e324ms3156

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DOI: https://doi.org/10.54905/disssi/v27i138/e324ms3156

Published: 03 August 2023