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OBJECTIVE: Single stage coronary and lower limb revascularisation
METHODS: 10 patients with longest follow up of 10 years operated. Approach- median sternotomy- off pump coronary revascularisation, subcutaneous tunnelling of tube graft and lower limb revascularisation. Post operative evaluation by ct angiography. The Photograph uploaded shows the hand drawing and the CT angiography of one of the patients who underwent the procedure
RESULTS: All ten patients have reduction in claudication symptoms reduced by at least two grades. No patient had any wound complications, or sternal complications.No patient required any type of lower limb amputation.
CONCLUSIONS: One stage off pump coronary and lower limb revascularisation is a viable and economically feasible and at the same time cosmetically and surgically less defiguring procedure with excellent long term follow up