Reoperative coronary artery bypass grafting via a left thoracotomy and a small laparotomy without cardiopulmonary bypass: Report of a case

Citation
T. Manabe et al., Reoperative coronary artery bypass grafting via a left thoracotomy and a small laparotomy without cardiopulmonary bypass: Report of a case, SURG TODAY, 31(10), 2001, pp. 904-907
Citations number
13
Language
INGLESE
art.tipo
Editorial Material
Categorie Soggetti
Surgery
Journal title
SURGERY TODAY
ISSN journal
0941-1291 → ACNP
Volume
31
Issue
10
Year of publication
2001
Pages
904 - 907
Database
ISI
SICI code
0941-1291(2001)31:10<904:RCABGV>2.0.ZU;2-2
Abstract
A 66-year-old woman with aortic stenosis underwent an aortic root replaceme nt with a composite graft and coronary artery reconstruction 2 years before presentation. On coronary angiography performed 2 years after operation, s aphenous vein graft (SVG) to right coronary artery and SVG to first diagona l branch had both become totally occluded. SVG to left anterior descending artery showed 75% stenosis on the heel side of the distal anastomosis. The patient underwent a second coronary artery bypass via a left thoracotomy (t he left internal thoracic artery was anastomosed to the first diagonal bran ch by interposing it with the left radial artery) and a small laparotomy (t he right gastroepiploic artery was anastomosed to the right coronary artery ) without a cardiopulmonary bypass. This approach is preferable to avoiding both a resternotomy and cardiopulmonary bypass in patients requiring repea t surgery.