Our coronary revascularization strategy in a high-risk patient with total stenosis in bilateral femoral arteries and total laryngectomy

Method Cardiovascular surgery council decided surgery for patient and patient was hospitalized. Coronary angiography and distal terminal aortography which were performed in the same session, revealed50% stenosis in left common iliac artery and total occlusion of bilateral superficial femoral arteries. Transthoracic echocardiography examination revealed interventricular septum as 17 mm and pulmonary artery pressure as 30 mmHg. He had diabetes mellitus regulated with oral antidiabetics and chronic obstructive pulmonary disease, which was consulted to chest department and reported as mediumrisk for surgery, in his medical history. 24 years before his admittance, he had total laryngectomy for laryngeal cancer. Patient was consulted to ear-nose-throat department preoperatively.