| Autor: |
Manabe, Takahiro, Tobe, Michio, Terada, Masatsugu, Ichikawa, Yukio, Uranaka, Yasuko, Yamazaki, Ichiya, Yano, Yoshimi, Takanashi, Yoshinori |
| Zdroj: |
Surgery Today; Oct2001, Vol. 31 Issue 10, p904-907, 4p |
| Abstrakt: |
A 66-year-old woman with aortic stenosis underwent an aortic root replacement with a composite graft and coronary artery reconstruction 2 years before presentation. On coronary angiography performed 2 years after operation, saphenous vein graft (SVG) to right coronary artery and SVG to first diagonal 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 (the left internal thoracic artery was anastomosed to the first diagonal branch by interposing it with the left radial artery) and a small laparotomy (the 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 repeat surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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