Aortic valve replacement after previous coronary artery bypass grafting: a case report
| Autor: | Kazumi Takagi, Shigemitsu Suzuki, Keiichi Akaiwa, Hideyuki Kashikie, Katsuhiko Nakamura |
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| Rok vydání: | 2013 |
| Předmět: |
Aortic valve
Male medicine.medical_specialty Dissection (medical) Coronary Angiography law.invention Aortic valve replacement law medicine.artery Internal medicine Ascending aorta Cardiopulmonary bypass Medicine Humans Coronary Artery Bypass Aged Heart Valve Prosthesis Implantation Cardiopulmonary Bypass medicine.diagnostic_test business.industry General Medicine Aortic Valve Stenosis medicine.disease Constriction medicine.anatomical_structure Treatment Outcome Aortic valve stenosis Aortic Valve Angiography cardiovascular system Cardiology Heart Arrest Induced business Tomography X-Ray Computed Artery |
| Zdroj: | The Kurume medical journal. 60(1) |
| ISSN: | 1881-2090 |
| Popis: | We experienced a case of aortic valve replacement after previous coronary artery bypass grafting with patent bypass grafts. Based on the retrosternal anatomy assessed by preoperative angiography and thoracic computed tomography, aortic valve replacement was performed through a median resternotomy. After careful dissection of the right side of the heart and the ascending aorta, cardiopulmonary bypass was established with cannulation of the ascending aorta and bicaval venous cannulation. The patent bypass grafts were dissected only as required for clamping and were clamped during cardiac arrest. After aortic valve replacement, the patient was uneventfully weaned from cardiopulmonary bypass and had a good postoperative recovery. It is important that surgeons have a meticulous strategy for reducing the risks associated with operating on patients with patent bypass grafts. We report on the surgical management of patients undergoing aortic valve replacement after previous coronary artery bypass grafting, including careful planning during the first operation. |
| Databáze: | OpenAIRE |
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