54 year old man, heavy smoker with poor lung function, presented with severe claudication in both legs. Peripheral angiography along with coronary angiography revealed 100% juxtra-renal abdominal aortic occlusion and critical stenosis of LAD. CT Angio was done to know the condition of external iliacs and femoral arteries. A plan was chalked out. On 29th May, we performed OPCABG: LIMA-LAD and ascending aorta to right femoral artery bypass plus right to left femoral artery bypass using 7mm PTFE ringed grafts through subcutaneous tunnels.
Post-op : Both dorsalis pedis arteries were felt nicely with good doppler signals as well. The patient extubated the same evening and is doing well.

Dr. Ashwani Suri

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