The Use of a Proximal Anastomotic Device to the Side of the Aortic Arch in CABG and AVR: a Case Report

VernacularTitle:中枢側吻合デバイスを用いて大動脈弓部に吻合したCABG，AVRの1例
Author: Maiko MATSUDA ¹ ; Takahiro FUJIMOTO ² ; Mitsuru YUZAKI ¹ ; Yoshitaka OKAMURA ¹ ; Yoshiharu NISHIMURA ²
Author Information

1. Department of Cardiovascular Surgery, Seiyu Memorial Hospital
2. Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University
Keywords: coronary artery bypass grafting; proximal anastomosis; clampless proximal anastomotic device; dilated ascending aorta
From:Japanese Journal of Cardiovascular Surgery 2024;53(2):70-73
CountryJapan
Language:Japanese
Abstract: A 73-year-old woman presented at our hospital with dyspnea. Echocardiography showed severe aortic stenosis and a coronary angiography revealed right coronary artery disease. Therefore, we performed aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) surgery. Proximal anastomosis was initially attempted to the ascending aorta. However, the ascending aorta was thin and weak, we decided to anastomose to the side of the aortic arch. Proximal anastomosis was performed with an anastomotic device. Postoperative coronary computed tomography (CT) showed that the graft was patent.