Total arterial anaortic off-pump coronary artery bypass grafting for diffuse coronary disease – A case report

Autor: Kamales Kumar Saha, Mandar M. Deval, Shekhar Ambardekar, Ajay Kumar, Kakalee K. Saha
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Indian Heart Journal, Vol 67, Iss 3, Pp 262-265 (2015)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2015.04.005
Popis: Surgical treatment of diffuse coronary artery disease remains challenging. We present here a diabetic patient, with diffuse coronary disease, revascularized using total arterial anaortic off-pump coronary artery bypass grafting. He received total nine distal grafts. He continues to be asymptomatic after more than 2 years. CT angiography follow-up shows eight out of nine grafts are patent. Anaortic off-pump coronary artery bypass grafting has the least incidence of stroke and arterial grafts have the best long-term patency rate. This is the first case report of nine arterial bypass graft performed off-pump using both internal mammary and both radial arteries. Anaortic total arterial off-pump coronary artery bypass grafting has achieved excellent intermediate term result in this patient of diffuse coronary artery disease.
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