Totally arterialized minimally invasive coronary artery bypass grafting under the guidance of coronary artery function: A case report
- VernacularTitle:冠状动脉功能学指导下的全动脉化微创冠状动脉旁路移植术一例
- Author:
Dongsi SHUANG
1
;
Jun FU
1
;
Jiangyou WANG
1
;
Chunjun YU
1
;
Zhengdong HUA
1
Author Information
1. Department of Cardiovascular Internal and Surgical Medicine, Wuhan Asia Heart General Hospital, Wuhan, 430022, P. R. China
- Publication Type:Journal Article
- Keywords:
Exertional angina pectoris;
totally arterialized minimally invasive coronary artery bypass grafting;
quantitative flow ration;
computed tomography fractional flow reserve;
case report
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(04):634-638
- CountryChina
- Language:Chinese
-
Abstract:
We reported a 59-year-old male with exertional angina pectoris, and the coronary angiography showed multiple vessel lesions. The initial strategy was coronary artery bypass grafting (CABG). The measurement of quantitative flow ration (QFR) before operation indicated that the posterior descending branch (PD) did not need to be treated. The left circumflex branch (LCX) was small, and the QFR of the left anterior descending branch (LAD) and the first diagonal branch (D1) was<0.8. Therefore, the LAD and D1 were re-vascularized. The operation strategy was changed to on-pump CABG through a small incision, and the final strategy was LIMA-D1-LAD (sequential), fractional flow reserve (FFR) of distal LAD and D1 after CABG were>0.8 by computed tomography FFR. SYNTAX scores after CABG were 20 and the functional SYNTAX scores after CABG were 3, indicating a good prognosis.
