Cardiovascular Surgery and Interventions 2015, Vol 2, Num 2 Page(s): 043-046
Critical lower limb ischemia in Leriche syndrome following acute myocardial infarction: limb salvage with an axillofemoral bypass

Hamit Serdar Başbuğ1, Macit Bitargil1, Ahmet Karakurt2, Sefer Usta3, Kanat Özışık1

1Departments of Cardiovascular Surgery, Medical Faculty of Kafkas University, Kars, Turkey
2Departments of Cardiology, Medical Faculty of Kafkas University, Kars, Turkey
3Department of Cardiovascular Surgery, Ahi Evren Thoracic and Cardiovascular Training Hospital, Trabzon, Turkey

Keywords: Acute myocardial infarction; arterial occlusive disease; axillofemoral bypass grafting; Leriche syndrome; limb salvage
The aortoiliac occlusive disease, known as Leriche syndrome, primarily merits an aortobifemoral bypass graft which is the standard surgical treatment of critical limb ischemia. However, axillofemoral bypass grafting can be also used as an alternative treatment in highrisk patients. The indications include intraabdominal graft infections, older age, and worsened overall status. In this article, a successful salvage of a limb with an axillofemoral bypass surgery in a critical leg ischemia subsequently developed soon after an acute myocardial infarction was reported.

DOI : 10.5606/e-cvsi.2015.373