Author/Authors :
Solmaz, Filiz Alkaya Süleyman Demirel Ünivesitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey , Karabacak, Pınar Süleyman Demirel Ünivesitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey , Etli, Mustafa Van Bölge Eğitim Araştırma Hastanesi, Turkey , Yavuz, Lütfi Süleyman Demirel Ünivesitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey , Okutan, Hüseyin Medical Park Hastanesi, Turkey
Abstract :
Peripheral arterial disease usually occurs together with coronary disease and patients presenting this condition have a 2-fold to 4-fold higher risk of experiencing myocardial infarction and death. We present an unusual case of a Leriche syndrome in a male smoker and without previous history of cardiovascular disease. In coronary by-pass operations, using LIMA graft may lead problems especially in patients with peripheral arterial disease. Cases of acute limb ischemia have been reported with use of LIMA grafts, concluded that LIMA is an important collateral source in patients with Leriche syndrome. Therefore; we suggest use of saphenous vein grafts in patients with Leriche syndrome planned to undergone coronary by-pass surgery instead of LIMA that does not risk post-operative lower extremity circulation, moreover reduce morbidity- mortality.
