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 |
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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 |
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