Anaortic off-pump bilateral internal mammary grafting in severe left ventricular dysfunction - Case report

Autor: Kamales Kumar Saha, Kakalee K. Saha, Ashok Kumar, Saurab Goel
Rok vydání: 2014
Předmět:
Male
medicine.medical_specialty
RD1-811
CABG arterial graft
education
Coronary Artery Bypass
Off-Pump

Case Report
Internal thoracic artery
030204 cardiovascular system & hematology
Coronary Angiography
Severity of Illness Index
Ventricular Function
Left

03 medical and health sciences
Ventricular Dysfunction
Left

0302 clinical medicine
Off-pump surgery
Internal medicine
medicine.artery
Severity of illness
medicine
Diseases of the circulatory (Cardiovascular) system
Humans
030212 general & internal medicine
Mammary Arteries
Coronary artery bypass graft CABG
Ejection fraction
business.industry
Right internal mammary artery
Middle Aged
Coronary Vessels
Surgery
medicine.anatomical_structure
Echocardiography
RC666-701
Mammary artery
Cardiology
Coronary endarterectomy
Composite graft
Diabetic patient
business
Cardiology and Cardiovascular Medicine
CABG new technology
Artery
Follow-Up Studies
Zdroj: Indian Heart Journal, Vol 68, Iss S2, Pp S54-S56 (2016)
ISSN: 2213-3763
Popis: A 64 years old male diabetic patient with ejection fraction of 16% and renal dysfunction underwent off-pump CABG using both in situ internal mammary artery grafts. Left internal mammary artery was used to bypass left anterior descending artery and right internal mammary artery was used as composite graft. Patient had uneventful recovery and left ventricular ejection fraction improved to 34% within 8 months after surgery. In presence of left ventricular dysfunction, both internal thoracic artery grafting should be preferred for better patency rate and flow reserve. This is the first ever case report of anaortic off-pump bilateral internal thoracic artery grafting in a patient with left ventricular ejection fraction less than 20%.
Databáze: OpenAIRE