We present the first case of arterioplasty of the common femoral artery performed using a gastroepiploic artery (GEA) patch for a 59-year-old man on haemodialysis. He was incidentally diagnosed with coronary artery disease with left main trunk stenosis and double-vessel disease upon screening examination for peripheral artery disease. Preoperative computed tomography revealed a severely narrowed right common femoral artery. We planned a simultaneous off-pump coronary artery bypass grafting (CABG) involving the bilateral internal thoracic arteries and GEA, and endarterectomy of the right common femoral artery. Because the remnant GEA was sufficiently long and its diameter was sufficiently large, we used a GEA patch during arterioplasty to preserve the saphenous vein. This method is limited to simultaneous surgery with CABG using GEA but is a useful alternative for preserving the saphenous vein.

中文翻译：

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动脉外膜动脉修补术治疗股总动脉闭塞性疾病。

我们介绍了一个59岁的男子在血液透析中使用胃肠上动脉（GEA）贴片进行的股总动脉第一例动脉成形术。通过筛查外周动脉疾病，他被偶然诊断为患有左主干狭窄和双血管疾病的冠状动脉疾病。术前计算机断层扫描显示右股总动脉严重狭窄。我们计划同时进行双侧胸内动脉和GEA的非体外循环冠状动脉搭桥术（CABG），以及右股总动脉的内膜切除术。由于残余的GEA足够长且直径足够大，因此我们在动脉成形术中使用了GEA贴片来保留大隐静脉。