CABG surgery in a patient with left iliac arteryocclusion: Precautions to consider

• Autores: De la Peña Brush, Oscar F., Talledo Quaglino, Oscar J.
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Universidad de San Martín de Porres
• Repositorio: Horizonte médico
• Lenguaje: español
• OAI Identifier: oai:horizontemedico.usmp.edu.pe:article/305
• Enlace del recurso: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/305
• Nivel de acceso: acceso abierto
• Materia: Bypass coronario; Enfermedad oclusiva aorto iliaca; Oclusión de la arteria iliaca izquierda; Arteria mamaria interna; Coronary Artery Bypass Grafting (CABG); Aortoiliac Occlusive Disease (AIOD); Left iliac artery occlusion; Left InternalMammary Artery (LIMA)

We present the case of an 82 years old male with Congestive Heart Failure (Left Ventricle Ejection Fraction: 20%) and Acute Pulmonary Edema secondary to Acute Myocardial Infarction that required Coronary Artery Bypass Graft (CABG) surgery. Past Medical History included Aortoiliac Occlusive Disease with total occlusion of the Left Iliac Artery and collateral circulation to the left inferior limb through the Left Internal Mammary Artery (LIMA).  CABG was perfomed without harvesting the LIMA due to high risk of legischemia. An attempt to revascularize the left limb previous to the cardiac surgeryin other to do so. Would have been too risky in this case. After 2 months follow up, patient showed good clinical outcomes.